Study Club Member chris
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chris posted an update 8 weeks ago
Sorry if this is a double post. I was wondering if this case should be better splinted or with separate crowns. I did look at the research and it seems splinted crowns are better. But I’m just worried as there is already bone loss around the mesial implant would it be better to do separate crowns so she can clean it better
Ivan3 Comments-
Hey Chris, thanks for your post! I would leave these UNsplinted. Here’s why:
There is already some bone loss at those implant sites and if you splint those, the situation can get worse as the patient wont be able to clean them as effectively. (What you said)
I can’t think of a benefit to splinting them in this case.
Also, you might have a…
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Thanks again Ivan. Much appreciated
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chris posted an update 2 months ago
Hi, I was intially going to take impressions of 14 15 implant and decided rather to scan it.
My question is there is a bit of gingiva covering the 14 healing cap. Like maybe 1/5 of the healing cap. It has no issue coming off, but should I remove this tissue before I scan?
Also I know with normal crown preps it is very important there is no…
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Hey Chris! When you say that the tissue is covering the healing abutment, is it covering the occlusal surface of it?
Its generally not a big deal, I would probably take a thin blade and slice off the tissue that is covering the occlusal surface of the healing abutment.
Ideally, you don’t want blood during the scan. I suppose it’s technically not…
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yes its covering a very small portion of the healing abutment. I was thinking maybe I could place a large cord in there for a few minutes to solve the issue 😅. Thanks for the help, I guess ill just take a full arch scan
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chris posted an update 2 months ago
Hi nice to meet you guys. I am new to implant crowns and just wanted your opinion. I have a case for the 14 15 for impressions this Tuesday. I noticed on the radiographs there is quite a bit of bone loss on the 14 two months after placement. I do intend to take another xray on the day but is this cause for concern or is it normal. Thanks
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Is it just me or can we sort of see a slight preview of the future bone loss in the first x ray?
The answer to your question is that yes, it is a cause for concern, but also that yes this is normal. It does happen to us all.
Best thing to do now is stop the progression of the bone loss. Curious to hear what you guys would do.
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I think at this stage your best ally is going to be thick connective tissue and a well polished (not glazed) crown with good profile. It is a concern, but not enough to remove the implant. I have actually seen some cases fill in later if the crown, hygiene and tissue is ideal.
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