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      Alan posted an update

      a year ago (edited)

      I’ve been getting random early failures in slam dunk cases lately. Healed ridges with adequate bone. Usually in the mandible when I have insertion torque 50ncm or greater. Any recommendations to prevent early failures? Is it important to do preop antibiotic prophylaxis (I don’t)?

      • I do prophylactic antibiotics but that’s more cuz my pts all smoke. I would make sure that your drills are new, and you’re pumping to clean the flutes. Are you placing healing abutments? I’ve had a rash of pts whose implants failed cuz I think they were hitting on the healing abutment. Biology sucks sometimes.

        • Nick, do you continue AB after implant insertion or just Prophylactic use?

          • I give pt rx for Augmentin 875 they take first dose 1 hr before surgery then continue for 7 days.

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        • Thanks! I just joined and i’m watching your videos. They are super helpful. Do you refrigerate your saline?