Study Club Member 87madrigal
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87madrigal posted an update a week 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…
Jedediah, drcajee and 3 others3 CommentsView 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.
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great clinical pearl.
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87madrigal replied to the discussion Upper Anterior Implant Position in the forum Implant Tx Planning a week 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…
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87madrigal posted an update 2 weeks 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…
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I love this! Thank you for sharing!
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87madrigal replied to the discussion Tightened inplant which starts spinning in the forum Complications 2 weeks 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 weeks 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…
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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!
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87madrigal replied to the discussion #10 implant site in the forum Implant Tx Planning 3 weeks 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
