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Jedediah posted an update
Anything seem out of place??? What would you do? How could a mistake like this be prevented in the future? Leave a comment below👇👇👇.
Join me for our monthly study club session when we talk about implant complications from A to Z this upcoming Monday!
Can, Erick and Cayleen3 Comments-
This one will make you lose sleep for days 😅; Implant in the sinus UL. I would say if you are comfortable with doing a lateral window/caldwell luc, take a cbct and see where it is relatively in the sinus and remove with that procedure. I find that sometimes you can push the patients head a certain way (since the sinus the pyramidal) to get it closer to the window you created and remove it. If not comfortable, refer to a specialist asap. In terms of prevention, I almost always undersize my implant drilling by .5-1mm in the posterior maxilla and use an aggressive thread design to achieve maximum torque here. Also, be aware of anatomy and if you break the sinus floor, realize what measurement so you can tread carefully when delivering the fixture.
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Thanks for the response Talha. All reasonable answers. However, under preparing the osteotomy wouldn’t help a case like this this is what happens when you don’t change your program buttons on your motor and you place the implant at 2000 RPMs. A way to do a safety check is the step on the pedal with the implant outside of the patient’s mouth to make sure it rotates slowly to ensure that you’re on the proper implant setting and implant placement button that typically goes slow at 25 RPMs so this doesn’t occur
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didnt event think of that, thats a great tip and advice!
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