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  • 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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    drcajee
    3 Comments
    • 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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    • 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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      Ivan and dtberat_dds
      2 Comments
      • 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.

        • Hlo everyone My self Parsanjit Singh from India (Punjab). I am newbie and trying to provide best treatment to my patient by learning things from great and experienced people and i am very thankful that someone is doing these things where you can discuss things without any fear. Feel great to be here

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          Nick, Jedediah and Ivan
          1 Comment
          • Thanks for being here Parsanjit 😁 Are you placing implants? Or are in the learning phase of it? Welcome to the community

          • Welcome! 👋🏼 If youre new or havent posted here before, this is a SAFE JUDGEMENT-FREE zone to share, chat, and learn together.

            Drop a question or just drop a line to say hello and introduce yourself!

            We’re glad you’re here!

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            Ramsey, Joseph and 10 others
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          • Reply to UPPER OVERDENTURE CASE

            Haha nothing gave it away!

            I ask about the lower arch because of the occlusal plane. See how it goes up in the anterior teeth as those teeth super erupt?

            I wanted to know if that occlusal plane will be corrected. It’s okay to leave it as is, but if the lower teeth were compromised also, it would be great to correct the occlusion with both…

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            Ryan, Saman and Jedediah
          • Has anyone had experience placing implants on a patient with Charcot-Marie-Tooth disease? Pt is in need of 2 implants but given the disease are there additional precautions needed?

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            Jedediah and Ivan
            3 Comments
            • Hello Khurrum, super interesting question here.

              I have never personally dealt with a patient with this condition.

              My understanding is that it is primarily the nervous system.

              My main concerns regarding implants would be:

              – not doing full arch fixed as patients would not be able to keep this clean.

              – evaluating the local quality of bone at the…

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          • Implant Placement – Lower Second Molar with a Focus on Keratinized Tissue

            This case highlights the importance of soft tissue management for long-term implant success. In this case, I placed an implant on a healed site for a lower second molar, and my approach focused on ensuring we have a thick keratinized band on the buccal side.

            When dealing…

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            Jedediah, drcajee and 3 others
            3 Comments
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          • Hey everyone! I’m excited to be here. My name is Faraj. A big thank you to Ivan for building this platform and sharing his knowledge with us, you’re truly a gem!

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            Jedediah, Ivan and dtberat_dds
            1 Comment
            • Hey Faraj! You’re awesome brother. Thank you for joining us here!

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            • What are your tips or tricks for making sure your implant is in the correct restorative position?

              When placing Implants freehand, it’s easy to judge the mesial and distal angulation, but often tricky to judge buccal lingual orientation. Here’s what you can do to make sure you are in the correct restorative position – use the opposing dentition!

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              Jedediah, Ivan and 3 others
              1 Comment
              • love it. I do the same thing for overdenture patients! This is specially useful if you don’t have the adjacent teeth for reference! Thanks for sharing man! 🙌

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