Implant Ninja | Site-Wide Activity

kandacewilliamson posted an update: Hi all, I'm a recent graduate and completed a GPR in […]

Mon, 02 Mar 2026 21:41:37 -0800

Hi all, I’m a recent graduate and completed a GPR in July of 2025. I placed about 30 implants during my residency and supplemented my training with the Implant Ninja Implant Track courses. I currently work in private practice and am preparing for my first implant case since practicing on my own. I completed the extraction with bone grafting…

tannersmenard posted an update: In dental school, I was taught I needed to wait a minimum […]

Thu, 26 Feb 2026 17:37:11 -0800

In dental school, I was taught I needed to wait a minimum of 3 months after extraction/socket grafting before site was “healed” or “stable” and ready for implant placement. Roughly the same timeline for implant placement in preparation for the restoration.

As a newer provider, I don’t have a ton or reps under my belt but I am anecdotally…

drcajee replied to the discussion Implant lost in max sinus :( in the forum Complications

Thu, 26 Feb 2026 13:57:31 -0800

Reply to Implant lost in max sinus :(

Welcome to the “club” no one wants to join, but every seasoned surgeon eventually does! Honestly, the fact that you were upfront with the patient immediately is the best move you could’ve made—that transparency saves careers. What likely happened is a “perfect storm” where the soft Type IV bone in that #3 spot didn’t transition from mechanical… Read more

Nora started the discussion Implant lost in max sinus :( in the forum Complications

Thu, 25 Dec 2025 01:48:04 -0800

Implant lost in max sinus :(

Hello Docs!

First posting here! I wish I had an image to attach but not in the office this week.

I had a patient return for an uncovery of implant #3 at 3.5 months. His initial torque at placement was 35NCm and I placed a cover screw. Pt didnt complain of any symptoms and appeared to have been healing acceptably at 1 week postop. At…

Erick posted an update: Hey Dojo members! We will be migrating the Dojo to

Fri, 12 Dec 2025 17:48:21 -0800

Hey Dojo members! We will be migrating the Dojo to Skool.com in late January 2026 to make things faster, cleaner, and easier to use.

Nothing you need to do right now. We will notify you here and via email before the switch with clear instructions. More details coming soon. Thank you for your patience as we make these improvements.

Scott posted an update: Hi, first time posting and hope everything is enjoying […]

Wed, 22 Oct 2025 21:20:31 -0700

Hi, first time posting and hope everything is enjoying their week! I had a quick question regarding what type of implant this is if anyone can help! They are at sites 19 and 30. Let me know what you think.

Robbie posted an update: Immediate #7Thoughts on angulation, depth, F/L position? […]

Tue, 02 Sep 2025 19:24:11 -0700

Immediate #7

Thoughts on angulation, depth, F/L position? I feel like its too deep, but wanted to at least be bone level on the lingual. Use his old crown as a temp if I achieve enough torque?

Could tip apical lingually and go cementable

In planned position, the apical third awfully close to the cortical plate.

This is a 3.75 x 13. Will be placing…

carolynschweitzer posted an update: Hi all, I just discovered this community and this […]

Sat, 30 Aug 2025 13:14:36 -0700

Hi all, I just discovered this community and this first post.

This healing cap was in place for 5 months. I couldn’t get it out through conventional means, and stripped the threads trying.

Then I had the brilliant idea to review the radiograph, and it appears to be bent?

The split image shows a comparison between when I placed it in March, and how…

chris posted an update: Hi i have to reline an implant retained denture. […]

Mon, 11 Aug 2025 08:09:52 -0700

Hi i have to reline an implant retained denture. Just retained by two implants.

I was wondering if someone could walk me through it.

Or could point me to some good resources

Thanks !

jorbrown posted an update: Pt says they have a nickel allergy?? Are they not […]

Wed, 09 Jul 2025 18:44:42 -0700

Pt says they have a nickel allergy?? Are they not a candidate for dental implants then)

sameerdentist posted an update: Hi, how are you ninjas, can anyone explain to me try […]

Sat, 28 Jun 2025 18:01:51 -0700

Hi, how are you ninjas, can anyone explain to me try in steps for all on x cases immediate loading

tannersmenard posted an update: Hoping for some feedback here as I am fairly new in […]

Mon, 02 Jun 2025 16:29:10 -0700

Hoping for some feedback here as I am fairly new in my implant journey and have had a couple failures lately that I cannot understand.

Placed this implant a few weeks ago on healthy patient site #30. Surgery went very smooth, with sequential osteotomies and implant torquing out at 40N/cm. Patient comes back three weeks later and implant…

linmorgan posted an update: Hello Docs,Looking for some feedback and advices. #21 […]

Wed, 21 May 2025 23:45:34 -0700

Hello Docs,

Looking for some feedback and advices. #21 was extracted and placed immidate 4.1×12. I know I needed to go 2-3 mm beyond the apex, however, I didn’t have the correct length. The final torque was about 20 NCM. Bone graft was added and collagen plug and sutured with chromic gut. Please evaluate the radiographs and advise. When should I…

Ryan posted an update: Update for those interested on the case I posted about […]

Tue, 06 May 2025 19:24:01 -0700

Update for those interested on the case I posted about not too long ago.

We went with custom milled locators from TruAbutment to angle correct. The case turned out really well!

chris posted an update: Hi with a verification jig for an implant retained […]

Tue, 29 Apr 2025 03:46:20 -0700

Hi with a verification jig for an implant retained bridge, if u screw down one of the implants, how do u know the soft tissues arent pushing up on the jig further away from the first implant

Yehia posted an update: What are the best ways to control bleeding […]

Mon, 28 Apr 2025 09:47:45 -0700

What are the best ways to control bleeding during surgeries… During some surgical procedure its hard to manage some procedures with all the blood like GBR… The patients are medically healthy …

Khurrum posted an update: Can someone share guidelines on extractions and implants […]

Tue, 22 Apr 2025 13:23:01 -0700

Can someone share guidelines on extractions and implants for patients on Prolia or bisphosphates? Thank you in advance.

Benjamin posted an update: Anyone here going for credentialing with the AAID […]

Sat, 19 Apr 2025 02:41:47 -0700

Anyone here going for credentialing with the AAID (American Academy of Implant Dentistry)? I completed a Maxicourse last year. Going for Associate Fellow credentialing. Took the written exam last summer and took the oral exam this last weekend. Waiting for results now.

aljaririjuma posted an update: Please help me identify this implant. I think its […]

Tue, 15 Apr 2025 22:40:41 -0700

Please help me identify this implant. I think its a Straumann implant but need to know what platform size and appropriate parts to order for digital scan to make new implant crown. Thanks in advance.

Ryan posted an update: Hello Docs,Looking for some guidance on restoring this […]

Tue, 15 Apr 2025 14:48:55 -0700

Hello Docs,

Looking for some guidance on restoring this case.

The patient had these Astra EV implants placed by a periodontist. The plan with the then restorative dentist was CONUS attachments.

The patient left the restorative dentist and came to us. He no longer wants to do CONUS or a bar overdenture due to finances.

I was planning to…

chris posted an update: Hi I have an implant bridge case to restore. Pt is in […]

Sat, 05 Apr 2025 06:45:00 -0700

Hi I have an implant bridge case to restore. Pt is in his 80s. I have just been restoring single units before this and would love some help/advice about how to proceed. The initial idea was just to scan, which I’m comfortable doing. But I have learned that the scanner may not be so accurate for larger cases like this. I will order a special… Read more

Nairy posted an update: Do you guys recommend lower fixed hybrid denture opposing […]

Tue, 01 Apr 2025 22:02:44 -0700

Do you guys recommend lower fixed hybrid denture opposing a regular denture this patient has sever bone loss !

Nairy replied to the discussion #20 implant in the forum Complications

Sun, 30 Mar 2025 14:56:33 -0700

Reply to #20 implant

Hello hope all is well !

I don’t have much experience in implants but why you don’t take a cbct first ? To see exactly what is happening? Is only the HA loose? I am sure you will know the difference but just a thought!

Dr. started the discussion #20 implant in the forum Complications

Thu, 27 Mar 2025 15:26:12 -0700

#20 implant

Hi, this implant was placed in June 2024. I have 3PAs (one from day of placement, one month later, and 9 month later). The intraoral picture of the soft tissue is from yesterday and tissue looks great… patient has no discomfort/pain either. She did have some discomfort between 2-3rd week after placement but subsided after taking…

Jazzy posted an update: Hello! I placed my first implants: #20, 22 few months […]

Wed, 26 Mar 2025 20:29:00 -0700

Hello! I placed my first implants: #20, 22 few months ago. Now im ready to restore! I was able to get #20 fully seated; However I am having difficult time seating my screw retained #22. Need some advice how to troubleshoot a nonseating crown as my scanbodies were fully engaged. Do i send if back to the lab for a remake, tissue contour, etc?

Inna posted an update: I need your advise, what would you do to remidy […]

Wed, 26 Mar 2025 03:20:39 -0700

I need your advise, what would you do to remidy the situation, tooth #10 was lost probably due to perio, no caries was, implant was placed with some bone graft, then restored and now bone and gingival loss is happening to #9, implant is placed slightly too deep and too facial, what should be fone, thank you.

Joseph posted an update: Have placed about 25 implants so far all only singles. […]

Thu, 13 Mar 2025 19:02:04 -0700

Have placed about 25 implants so far all only singles. Most all have gone decently well so the wonderful world of dentistry decided it was time for me to get humbled..

Buccal wall decently exposed on site #14. was previously failed endo. did sinus lift and placed implant. graft buccal during placement but it did not form buccal wal…

Olga posted an update: This patient wants implants. We just finished treating […]

Mon, 10 Mar 2025 16:21:46 -0700

This patient wants implants. We just finished treating her periodontal disease and she is ready for the next phase, however, she has severe bite collapse. In addition, she has uneven ridge in the upper anterior, which would make it challenging esthetically. I asked her dentist to make her a partial denture but the patient kept going back…

Khurrum posted an update: When to bonegraft?Pt came in with swelling and failing […]

Mon, 10 Mar 2025 03:18:12 -0700

When to bonegraft?

Pt came in with swelling and failing RCT with fracture. Pt has been dealing with it for 2 years. When do you forgo socket preservation? I am worried about any graft failing and may be better to go back in after infection clears up and extraction of tooth.

Thoughts?

Joseph posted an update: Pt has had #29-#31 implant placed 30 years ago, #30 and […]

Thu, 27 Feb 2025 13:07:32 -0800

Pt has had #29-#31 implant placed 30 years ago, #30 and #29 in good functional condition. #31 hasnt had functional crown for last 10 years. has kept ” failling off”

Fractured/ flowered implant collar? abutment is loose, looks like possible fractured screw.

Is removing the only reccomended treatment for #31 implant for this case at this stage?

fahadghaffar posted an update: https://digitallistings.net/product/the-all-on-x-course-full- […]

Sat, 22 Feb 2025 21:28:55 -0800

https://digitallistings.net/product/the-all-on-x-course-full-arch-implants-2/

Is that course valid? Why is it cheaper there?

digitallistings.net

The All-on-X Course (Full Arch Implants) + The Implant Ninja All-On-X Handbook – Dental Knowledge

Nairy posted an update: Have anyone heard of sirios scanner from straumann ??? Is it good ?

Thu, 13 Feb 2025 18:55:53 -0800

Have anyone heard of sirios scanner from straumann ??? Is it good ?

tannersmenard posted an update: I am a general dentist who is fairly new in my […]

Wed, 12 Feb 2025 17:33:18 -0800

I am a general dentist who is fairly new in my implant journey. The previous owner placed quite a few implants and is adamant that a prophylactic antibiotic (often a course of amoxicillin starting the day before the procedure) is imperative and necessary.

I have found literature on both sides of this issue. I am curious to hear others opinions…

drcajee replied to the discussion Creation of lateral window for sinus augmentation in the forum Implant Tx Planning

Sun, 09 Feb 2025 16:08:06 -0800

Reply to Creation of lateral window for sinus augmentation

Lateral window sinus lifts are indicated when there’s 3 mm or less of residual bone height. In this case, you may still be able to go intracrestal for these lifts.

However, yes, if you do have a bony window you can leave it attached to the membrane when you elevate. It’s basically added bone graft!

I haven’t used those kits so I couldn’t tell…

William started the discussion Creation of lateral window for sinus augmentation in the forum Implant Tx Planning

Sun, 09 Feb 2025 03:50:56 -0800

Creation of lateral window for sinus augmentation

Good day everyone, I have just started to perform sinus augmentation and still new in this journey. Currently, I am using the conventional way with slow handpiece and round carbide bur (for dentoalveolar impactedd tooth removal) to cut and create the window. I am also aware of the LAS kit from osstem and DASK kit from dentium. May I know does…

drcajee started the discussion Controlling Bleeding with Transexamic Acid in the forum Complications

Sun, 09 Feb 2025 01:06:51 -0800

Controlling Bleeding with Transexamic Acid

I have a case share. I have a patient who presented with Pericoronitis tooth number #1 and other impacted wisdom teeth. Medical history significant for von Willebrand‘s disease. I had a difficult time getting a medical status update from her PCP. Upon questioning the patient, it looks like a bleeding issues haven’t been too severe for her.…

drcajee replied to the discussion Sinus lift or not in the forum Implant Tx Planning

Sun, 09 Feb 2025 01:00:37 -0800

Reply to Sinus lift or not

In this case, it looks like a minimal sinus augmentation is needed. There is a technique you can consider for this clinical scenario called a ‘sinus implosion’. For this technique, you drill your osteotomy just shy of the sinus floor cortex and then you place your implant fracturing the sinus floor into the sinus. So it often looks like drill 6…

William started the discussion Sinus lift or not in the forum Implant Tx Planning

Sun, 09 Feb 2025 00:15:22 -0800

Sinus lift or not

Good day everyone, I have a case which may involve challenging sinus lifting at the area with sinus septum. LIterature has shown that the risk of perforating sinus lining is low as long as the drilling does not exceed 2mm over the sinus floor or wall.

In this case, should I avoid sinus lifting and engage the implant fixture right at the…

sameerdentist posted an update: is there recommendation for simple study materials for […]

Mon, 03 Feb 2025 23:12:22 -0800

is there recommendation for simple study materials for bone graft and implant prosthetic part?

rroque29 posted an update: Hey yall. I was wondering if anyone had some advice on […]

Sun, 26 Jan 2025 03:12:28 -0800

Hey yall. I was wondering if anyone had some advice on how to get more cases of implants. I currently work in a blue collar town where the focus is on insurance. I have a modest goal of placing one a month for 2025. Things ive done so far is give a little presentation for my staff explaining the benefits of replacing missing teeth and benefits…

jorbrown posted an update: Patient had biomet 3I implant placed elsewhere. Had a […]

Wed, 22 Jan 2025 13:55:20 -0800

Patient had biomet 3I implant placed elsewhere. Had a cement retained crown #10. Its now completely covered by soft tissue. Any tips for removal of the screw?

Benjamin posted an update: First freehand implant placed a couple of weeks ago. […]

Mon, 20 Jan 2025 21:37:42 -0800

First freehand implant placed a couple of weeks ago. #4. Felt my initial angulation was coming too far mesially and tried to course correct best I could. Happy with the final placement. A little tricky with the distal sloping of the ridge from #5 down to implant #3. Did a papilla sparing incision and tucked the tissue to the buccal with…

Benjamin posted an update: First three career implants placed last month! Fully […]

Mon, 20 Jan 2025 21:32:48 -0800

First three career implants placed last month! Fully guided.

Some thoughts and questions:

The tissue punch for #29 probably left a less than ideal amount of buccal keratinized gingiva. One month later, patient has some irritation of the gingiva buccal to the healing abutment. In retrospect, I would have liked to flap rather than punch and try…

rez posted an update: HI Guysi am a bit confused on PRF & CGF (sticky […]

Tue, 14 Jan 2025 21:52:40 -0800

HI Guys

i am a bit confused on PRF & CGF (sticky bone),mostly the RPM & time to prepare for sticky bone.

I understand A-PRF (PRF membrane) is 1300 rpm at 8 minutes (red tube), is the CGF (sicky bone0 is i-PRF which is red tube at 7oo RPM for 3 minutes then mixed with allograft? I understand each centrifuge has its own settings!

Can someone…

Joseph posted an update: Curious of other opinions on a case..#10 implant placed […]

Sat, 11 Jan 2025 02:51:33 -0800

Curious of other opinions on a case..

#10 implant placed 10 years ago.. #11 was badly resorbing and has since been removed and grafted with 3+ months healing Pictures are from before and after grafting, as well as CBCT with estimated placement.

Case is to be done with a guide and preplanned. I have 2.4-2.6 mm between #10 implant and where #11…

Can posted an update: Hi guys, I have a problem with an implant that I […]

Fri, 10 Jan 2025 17:54:53 -0800

Hi guys, I have a problem with an implant that I placed three months ago. bone was good, my torque 45 nm, the patient does not smoke, what could be the cause of this situation

Aman posted an update: Anyone have any recommendations for a universal […]

Fri, 10 Jan 2025 17:40:52 -0800

Anyone have any recommendations for a universal implant driver? Tryna make a universal kit

87madrigal posted an update: Posterior implant placement with a surgical guide: a […]

Fri, 10 Jan 2025 03:58:09 -0800

Posterior implant placement with a surgical guide: a case that highlighted the value of precision, even in favorable conditions.

This patient had abundant posterior bone, which made planning and execution straightforward but no less important. Here are the lessons reinforced during this case:

1. Guided Surgery Refines Precision: Even with…

Amy replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning

Thu, 09 Jan 2025 16:02:27 -0800

Reply to Vertical grafting or not?

I agree. You should be good if the implant has enough bone support. However, I would mention the deficient gum support to the patient and show him/her with visuals, then document in your notes that options were given about potential outcomes down the way.

Dr. replied to the discussion Prolia and medical hx in the forum Implant Tx Planning

Wed, 08 Jan 2025 00:27:54 -0800

Reply to Prolia and medical hx

Thanks everyone for your input