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Vũ Anh posted an update 6 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…
Ivan5 CommentsView more comments-
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 6 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 6 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 6 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 6 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 6 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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gill15 posted an update 6 months ago
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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Thanks for being here Parsanjit 😁 Are you placing implants? Or are in the learning phase of it? Welcome to the community
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Ivan posted an update 6 months ago
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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Ivan replied to the discussion UPPER OVERDENTURE CASE in the forum Implant Tx Planning 6 months ago
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…
Ryan, Saman and Jedediah -
Khurrum posted an update 6 months ago
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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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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