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treatment planning #19 with surgical guide
Hi everyone. I received this surgical report for #19 placement and they alerted me regarding a possible vertical height/spacing issues. I am planning for a screw retained crown and if my memory is correct, the minimum height needed between the implant platform and the opposing cusp is 5mm. There is 7.26mm of space per the measurement. So there shouldn’t be an issue here…right? or am I missing something? Thanks for your help!
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3 Replies
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I’m just starting out with my implant journey as well, but I thought it was minimum 8mm of space from implant to opposing tooth when its 1 single unit implant crown. I’m just asking to learn; there is much vertical bone, would it be ok to place a longer implant there and submerge the implant to get minimum 8mm of occlusal space? Thanks in advance.
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That is a ton of great bone and a great case. Typically you can get away with a minimum of 5 to 7 mm with a screw routine crown and be fine. However, in the limited information that I saw on your case, there’s a couple things that you can do to help improve and give you more inter-occlusal space. One, as you can submerge your implant deeper in the bone like you did on your digital placement 2 to 3 mm below the crest of the bone or you can do some alveoplasty and reduce 2 to 3 mm of bone to give you more space and then also place the implant a millimeter or two sub Crestal. Several different ways to treat it so you have plenty of room for your restoration which also give you a better emergency profile.
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Hey! I took a look at your case and attached my thoughts. I hope this helps!
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