Study Club Member 87madrigal
Study Club Member
0
Articles
-
87madrigal posted an update 6 weeks ago
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…
Ivan, jostanger and 2 others4 CommentsView more comments-
Very clean work and great documentation. 👊
-
I usually save guides for more “tricky” cases. But I also don’t have the best workflow at my office on getting them since the previous docs never did guided. I think I’ll be incorporating more as time goes.
- View 1 reply
- View more comments
-
-
87madrigal posted an update 8 weeks ago
Merry Christmas everyone!!
Sometimes, patience is the best treatment plan.
As much as I love placing implants right after an extraction, sometimes biology needs a little time to work its magic. Here’s a case of an anterior tooth extraction where we decided to graft and wait rather than placing an implant immediately. Why? Because sometimes the…
View more comments-
What about the case made you leery to do an immediate? What membrane did you use? Did the site require sutures? Thx
- View 1 reply
-
I love that. Patience is the most difficult skill to master tho! haha
1 - View more comments
-
-
87madrigal posted an update 2 months ago
Looking back at a case I did a few years ago, I’ve realized how much my approach has evolved.
I placed two implants in the posterior region using guided surgery. At the time, I chose a tissue punch technique because there was plenty of keratinized tissue, and it felt like the most minimally invasive option. The implants healed well, and the…
-
Thanks for the reflection man. l am the same, I used to do more punches as well.
Although this case in particular looks like there is loads of tissue! So I still might be lazy lol
I am usually doing small flaps and placing a stock healing abutment. Per our discussion on a post a little while back, I got a Cervico set and am going to use it to…
1 -
I have switched as well bone seats the tone but tissue is the issue
-
-
87madrigal posted an update 2 months ago
Implant Placement – Lower Second Molar with a Focus on Keratinized Tissue
This case highlights the importance of soft tissue management for long-term implant success. In this case, I placed an implant on a healed site for a lower second molar, and my approach focused on ensuring we have a thick keratinized band on the buccal side.
When dealing…
View more comments-
The doctor I have been mentored by follows this same protocol. I look forward to trying it myself on cases of my own soon.
3 -
great clinical pearl.
3 - View more comments
-
-
87madrigal replied to the discussion Upper Anterior Implant Position in the forum Implant Tx Planning 2 months ago
Reply to Upper Anterior Implant Position
I have actually seen a few studies about this, where the CBCT shows no to little bone but the implant is successful even after a decade. The main factor in these cases was the about of soft tissue. It being so apically I would not worry about it, learn from it and keep going. I see no reason why it would impact the success of the case. Like…
dtberat_dds -
87madrigal posted an update 2 months ago
Tip I am grateful to have been taught early by my mentor: Check Your Pilot Drill Angulation Early.
When placing implants, taking a PA X-ray of the pilot drill is a crucial step that’s often overlooked. This simple check can save you from a lot of headaches down the line.
The pilot drill sets the foundation for the entire implant trajectory. If…
-
I love this! Thank you for sharing!
-
-
87madrigal replied to the discussion Tightened inplant which starts spinning in the forum Complications 3 months ago
Reply to Tightened inplant which starts spinning
Hi Ash, as you continue to place more implants you will run into this. Like Ivan said, the reason is because the implant just can’t go lower (even if it’s tapered it needs a bit of osteotomy). I tend to use a 11.5 drill for my 10mm implants as I like them to be a little subcrestal. When this happens just take the implant out, set it aside, drill…
Mic and Ivan -
87madrigal posted an update 3 months ago
When I started my implant journey, I primarily placed implants at the bone level. It was straightforward, and at the time, I thought it was the best approach for most cases. As I’ve grown in my understanding and experience, I’ve transitioned to placing implants subcrestally in many cases—and the benefits have been significant.
Placing…
-
Thank you for the thoughtful tip Apolinar! Have you encountered any challenges or any negative effects of placing subcrestally? Has it been any more difficult restoratively? Beautiful crowns by the way!
1
-
-
87madrigal replied to the discussion #10 implant site in the forum Implant Tx Planning 3 months ago
You’re on the right track with your planning. Prioritizing at least 1.5mm of buccal bone is crucial, and having over 2mm in the incisal 4mm is definitely a positive. As for the thinner palatal bone, you’re right that the thicker palatal tissue and improved blood supply can compensate to some extent.
However, when palatal bone starts getting…
Jedediah and Ivan
