• Profile photo of Ivan

    Ivan replied to the discussion Second stage in the forum Complications a year ago

    a year ago

    Reply to Second stage

    Hey man, here’s the hiossen catalog, let’s take a look at it together. Also, Thanks for chiming in @alankatende !

    1:53

    Hiossen Cover Screw Issue

    1:53

    Diego and Jedediah
  • Profile photo of Alan

    Alan replied to the discussion Second stage in the forum Complications a year ago

    a year ago

    Reply to Second stage

    I started placing these implants 6 months ago. Make sure the healing abutment is the regular size (not mini), and make sure to remove any bone over the implant.

    Erick and Jedediah
  • Profile photo of Alan

    Alan posted an update a year ago

    a year ago

    This is a recent case that is failing and had adequate bone. I’ve attached a radiograph taken at placement, and another one taken a month after. The cover screw is not exposed, patient is not in pain but there is some purulence on palpation and crestal bone loss. Insertion torque was 35ncm. I had to use external irrigation for this…

    Read more

    • I think it wasn’t deep enough. ZBLC says we need 4mm from tissue to collar to prevent this bone loss. I would go back use the same site and if possible put in a 4.3 x8 . It looks like this implant was a 3.5 x 10. I bet if you hug the lingual you can put in a new 3.5 x 10 and countersink it.

      • View 1 reply
    • I took it out, cleaned the sige and replaced it. We shall see what happens

      • View 1 reply
  • Profile photo of Alan

    Alan posted an update a year ago

    a year ago (edited)

    I’ve been getting random early failures in slam dunk cases lately. Healed ridges with adequate bone. Usually in the mandible when I have insertion torque 50ncm or greater. Any recommendations to prevent early failures? Is it important to do preop antibiotic prophylaxis (I don’t)?

    • I do prophylactic antibiotics but that’s more cuz my pts all smoke. I would make sure that your drills are new, and you’re pumping to clean the flutes. Are you placing healing abutments? I’ve had a rash of pts whose implants failed cuz I think they were hitting on the healing abutment. Biology sucks sometimes.

      • View 2 replies