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Khurrum posted an update 9 months ago
Has anyone had any experience removing mini implants? Any tips or recommendations. These are 3M small diameter 2.4X10.
asima9 CommentsView more comments-
I’m actually do this exact same thing next week. When are you doing it?
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I’ll record my procedure for you. Often the come right out with the mini implant insertion tool. You just turn it counterclockwise. 🤞🏼
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chris posted an update 9 months ago
Sorry if this is a double post. I was wondering if this case should be better splinted or with separate crowns. I did look at the research and it seems splinted crowns are better. But I’m just worried as there is already bone loss around the mesial implant would it be better to do separate crowns so she can clean it better
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Hey Chris, thanks for your post! I would leave these UNsplinted. Here’s why:
There is already some bone loss at those implant sites and if you splint those, the situation can get worse as the patient wont be able to clean them as effectively. (What you said)
I can’t think of a benefit to splinting them in this case.
Also, you might have a…
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Thanks again Ivan. Much appreciated
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Nick posted an update 9 months ago
9 months ago (edited)
Remember if you think you are having a bad day, think about this dentist. 😳
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this one’s a doozy, not sure what I would do in this case !
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This is really crazy. Thankfully I’ve never had to deal with that myself but in general you have to open up a window and get it out of these. When it’s that high up that’s a bit crazier
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HANNAH posted an update 9 months ago
Hi all, Im trying to place a single unit #13. Due to boneloss, it looks like the buccal side is longer than the palatal side. If I were to place #13 completely submerged, 1mm subcrestal on the lingual side, it looks like it would be 2.2mm subcrestal on the buccal side. Should I shave down 1mm of the buccal bone to make it more even?
If so, do…
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I would not shave down anything. If needed at time of uncover you can remove any bone around the cover screw as needed. That being said I always shoot for 2mm subcrestal to create enough running room for my crown. You want 4mm from top of tissue to implant platform. This is the cornerstone of ZBLC.
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Hey Nick, thanks for your input! What does ZBLC stand for?
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Vũ Anh posted an update 9 months ago
It is not easy for a fresh doc (just graduated 6 months ago) to face a case of OCA without any instructor around. I was attempting to screw in the customized abutment, when I use the torque wrench to lock the screw in, the implant rotated :), when I took the implant out, I heard the sound, it kinda like the sound of the train idk…
So after…
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Can you explain what OCA is?
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I also don’t know what OCA stands for. The implant has failed it needs removed. There is epithelial encapsulation. One removed it and graft with a cytoplast or dPTFE membrane in the area to re establish the KT band. When the bone matures then I would place a new implant with hopefully a healing abutment that can be used to tent the KT to gain…
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Ivan posted an update 9 months ago
Well THATS not somethin you see every day. And actually the patient was fine. Luckily the drilling was lingual to the actual nerve canal.
Dont try this one at home!
Have a great weekend yall!
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I’d be worried about perforating into the lingual concavity😳
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Yikes. Did they say what went wrong?
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chris posted an update 9 months ago
Hi, I was intially going to take impressions of 14 15 implant and decided rather to scan it.
My question is there is a bit of gingiva covering the 14 healing cap. Like maybe 1/5 of the healing cap. It has no issue coming off, but should I remove this tissue before I scan?
Also I know with normal crown preps it is very important there is no…
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Hey Chris! When you say that the tissue is covering the healing abutment, is it covering the occlusal surface of it?
Its generally not a big deal, I would probably take a thin blade and slice off the tissue that is covering the occlusal surface of the healing abutment.
Ideally, you don’t want blood during the scan. I suppose it’s technically not…
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yes its covering a very small portion of the healing abutment. I was thinking maybe I could place a large cord in there for a few minutes to solve the issue 😅. Thanks for the help, I guess ill just take a full arch scan
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Justin posted an update 9 months ago
I have a patient that I am placing an implant on #19. He is missing #18 and #20 has class II mobility due to trauma from occlusion. I would like to place #19 with possibly having to place an implant on #20 in the future in mind. I know the minimum distance from an adjacent tooth is 1.5-2mm and distance away from an implant is 3mm. However,…
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Made a quick little diagram for ya. Does this help? You’re right that you should not place it within 2mm from #20. Besides that you need to consider the Mesio-Distal length of #20.
SInce the average MD length of a mandibular molar is 10mm, the furthest you’d want to start your prep is 5mm away from #20. As shown in diagram. LMK if that helps or…
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That being said I would still place it less than 5 or countersink it two mm so I had papilla formation. Nothing sucks more than a black triangle at the finish line.
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jorbrown posted an update 9 months ago
Building Your Personal Brand as a Local Dentist: The Best Approach
Let’s talk about personal branding as a local dentist. It’s not just about being good at what you do—although that’s obviously important. I’ll argue it’s actually MORE important as a business for people to like you, trust you, and feel connected to you, both inside and…
instagram.com
181 likes, 11 comments - drjordanbrown on November 26, 2024: "Thanksgiving Tour to say thank you to our neighbors! 1. Pasco YMCA 2. Police Station 3. Provisions Coffee and Kitchen 4. Fire Station 5. The Flower Box Thank you guys … Continue reading
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I like this approach. Can we dig into how to make these visits a success?
What has worked for me in the past is sending letters to local dentists. In the letter I introduce myself and some of my services that they might not provide.
I have had mixed results from personal visits when I visit other dental offices
Often the front desk is skeptical…
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I personally don’t just pop into other offices, but a lot of other dentist and specialist have stopped by and visited my office in the very beginning. It’s nice when they bring a sweet treat for the team! I’m general though! Probably different for specialists!
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Mert posted an update 9 months ago
Hello everyone I’m Mert, an Oral Surgeon from Turkiye. Just popped in to ask a question for now, can anyone give me some pointers or a source with alveolar crest reduction for AOX, I’m having problems making the crest parallel and flat. Especially the parallel part, sometimes I can’t make it a straight line and have to do touch ups very often.
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Hi there @mertkrc Great to have you here man! Have you used denture duplicate with an alveoplasty guide marked on there? They are a very easy way to approximate how much bone reduction needs to be done.
I usually use a large round bur to level out the bone. I like to use a steriilized pencil to mark the bone to help me keep a good reference…
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I like using a fox plane. Then I check its parallel to the inter pupillary line and Frankfort horizontal plane. Make sense? I also like using a pear shaped bur for this b/c the lingual cortical plate tends to be more dense and higher so the larger end of the bur does more work on this area first.
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