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Khurrum posted an update
When placing an immediate implant , in study club today and the dental lit states it is best to place bonegraft with a provisional. My question is does it make a difference in placing the implant first and than the bone graft? I find it easier to leave my last implant drill, place the allograft and than seat the implant. Does the dental lit support this way? And, if it is better to place the implant what are techniques to pack the allograft bone around the implant?
Ivan and Jedediah7 Comments-
Either before or after is fine, most of it just comes down to preference. As long as the gap is grafted, that is what is the most Important. If you do place the bone after often times I place a little bit at a time and then I use something like a Perio probe to gently push the bone graft material as apical as possible so I get a good adequate fill. However, if you graft it prior that is perfectly fine.
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I really like to do it this way also, I leave my last drill in the prep and pack bone around it. Then the implant compresses everything together. Although its tricky when bone ends up accidentally falling into the prep!
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Would love to hear what others do in these situations 😄 or any follow up questions —this is a good topic
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Dr Jed mentioned using a probe, are there other instruments people like to use to pack allograft bone?
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I’ve basically always just something like this. Nothing super sophisticated. Sometimes I use the implant drill bits or the implant measuring tool to assist.
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I typically use something that looks like an amalgam condenser where one side is slightly wider and one slides slightly thinner. However, a Perio probe is just helpful and thin areas where your grafting the gap with immediate implants to get the particles most apical.
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Hello everyone..I make osteotomy and then place implant and then cover the head pf the implant with implant driver and then place BONE graft in the jumping gap and mesial distal(posterior)and then places SSA or Anatomical Healing abudment or provisional crown
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