Hi, this implant was placed in June 2024. I have 3PAs (one from day of placement, one month later, and 9 month later). The intraoral picture of the soft tissue is from yesterday and tissue looks great… patient has no discomfort/pain either. She did have some discomfort between 2-3rd week after placement but subsided after taking…

Read more

Thanks everyone for your input

Thanks for your input!

I have a 76y.o. female patient who is currently on prolia, actemra and prednisone for a year or so. She was dx with giant cell arteritis this past year which prompted her to be on these meds. She needs an extraction of #19. She has had implants in the past so she is interested in an implant to replace this tooth. Conveniently enough,…

Read more

Hi,

I’m planning for #30 implant (5×8.5mm virtually planned here). My concern is there is a vertical bone deficiency (about 3.62mm depression compared to the adjacent bone peaks) and that without vertical augmentation, the implant appears to be too submerged…which also appears to lead to a greater than ideal distance from the gingiva to the…

Read more

Thank you everyone for your input and help!

#10 is planned for a 3.2x10mm implant. The socket was grafted about 4 months prior to the CBCT. I skewed it more towards the palate to ensure the 1.5mm buccal bone (which I believe is more important to have that thickness on buccal rather than the palate). I do have 2+mm buccal bone in the incisal 4mm of the implant. My concern still is…

Read more

#20 is planned for an extraction. Patient wants to know fixed options so my thought is bridge #20-x-x-18 (not the greatest option due to bone loss on both abutment teeth) or implant #20 and #19. The ridge width around #20 is naturally narrow (6.5-7mm – virtual implant I placed Is 3.5×8.5mm). #20 also has 4mm buccal recession/dehiscence…

Read more

Hi everyone. The virtually planned implant #13 (3.8x12mm BH tapered pro) is considerably more submerged vs #12 implant (about 4mm difference). Would there be any serious long term issues with this large discrepancy between adjacent implant platforms? My initial thought is to GBR the buccal first so it would “fatten up” the thin crestal…

Read more

Hi,

These are images of a recent scan.

This is 5 months after #19 implant was explanted (failed 2 weeks after placement) and simultaneous grafting was done.

I have currently planned for a Hiossen 4.5x7mm with buccal veneer grafting. This will be placed relatively deep due to ridge atrophy. What are your thoughts on this deep placement…

Read more

Thank you for the advice!

Hi,

I am concerned with not having a distal tooth stop on LL and UR of my surgical guides. Would placing a fixation screw(s) help stabilize them? If so, where? If not, then is there any other way to stabilize it better?

I have used a guide before without a distal tooth stop but only one tooth distal to a real tooth (e.g. #30 implant next to…

Read more

Hi,

#20 is planned for an extraction and socket grafting. I planned for an implant 4.0x7mm (which I’m thinking is a bit short – would have liked at least 8.5mm) but is limited in length due to the lingual concavity.

The implant fits into this pre-extraction dimensions; however, I’m anticipating some bone loss even after socket grafting and…

Read more

Hey everyone. I am tx planning #14 implant (5×8.5mm) with a transcrestal sinus lift of 4-5mm. He reports year round sinus issue; uses a nasal spray. I am concerned with the amount of radioopacity in the left sinus to move forward with sinus bump. His right sinus is completely clear. I put him on sudafed for 2 weeks (to try…

Read more

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…

Read more