Study Club Member drcajee
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drcajee posted an update 2 weeks ago
Hey guys. Last week, while I was in the middle of a FBI #17 case I noticed something interesting. I laid my flap and I saw this structure. Can you guess what it is?
It’s an extra nerve exiting from the bone!
In this case, you can decide whether to sever the nerve or work around it. It reminded me a lesson I learned sometime back – if you don’t…
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drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
Reply to Prolia and medical hx
When it comes to bone grafting, there are a few options like demineralized bone allograft (DBA), freeze-dried bone allograft (FDBA), and synthetic calcium phosphate (like Augma Bondapatite).
– DBA: This is human bone that’s had the minerals taken out, which makes it great for bone growth because may actually help recruit your body’s own cells…
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drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
Reply to Prolia and medical hx
Regarding use PRF for B/MRONJ – not enough data out there to call that standard of care. https://pmc.ncbi.nlm.nih.gov/articles/PMC8140838/
pmc.ncbi.nlm.nih.gov
Dentoalveolar surgery is probably the major risk factor for MRONJ and for other complications following a tooth extraction, especially in patients affected by systemic diseases. The aim of this retrospective study is to evaluate whether a PRF plug ...
Ivan -
drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
Reply to Prolia and medical hx
Since she’s paused her Prolia, it’s generally a good idea to remove the tooth soon after that to avoid complications. But definitely recommend checking in with her managing physician to make sure everyone’s on the same page about timing and any other precautions. This way, we can ensure a smooth process for her!
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drcajee replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning 2 weeks ago
Reply to Vertical grafting or not?
When I look at this case, you have enough bone to secure your implant. Regarding the vertical deficiency, I wouldn’t be too concerned as long as the Implant prosthesis has enough tissue support. If it doesn’t, I would consider a connective tissue graft and custom healing abutment.
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drcajee posted an update 5 weeks ago
I was thinking yesterday, could I substitute Liquid Bandages for PeriAcryl? It could be a significant cost savings. Nowhere on the liquid bandage bottle did it say oral wounds are contraindicated. What do you think?
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Our oral pathologist recommends liquid bandage to cover ulcers
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drcajee posted an update 5 weeks ago
Rethinking Everyday Instruments: The Case of Minnesota Retractors
Have you ever considered the everyday instruments we use that seem poorly designed or cause unnecessary discomfort? As someone who spends long hours in the operating room, I’ve certainly had my fair share of frustrations. One instrument that stands out to me is the Minnesota…
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Dude, whaat this is sick
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Oooo I love this idea!
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drcajee posted an update 7 weeks ago
What are your tips or tricks for making sure your implant is in the correct restorative position?
When placing Implants freehand, it’s easy to judge the mesial and distal angulation, but often tricky to judge buccal lingual orientation. Here’s what you can do to make sure you are in the correct restorative position – use the opposing dentition!
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love it. I do the same thing for overdenture patients! This is specially useful if you don’t have the adjacent teeth for reference! Thanks for sharing man! 🙌
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drcajee posted an update 2 months ago
Hey Guys. I have an immediate implant for site #7 with a signif PARL, prob cystic. pt has no significant reported med hx. As this case approaches im asking myself weather physical debridments and pre/post op abx are enough to prevent infection/early failure. Thankfully in general after 8 years of placing implants ive only had a few of…
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Because CHX can inhibit fibroblasts and osteoblasts I’m always wary of using it in these cases. I go the systemic abx route.
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I find peridex to be highly effective in infected extraction sites and use it regularly with great success of many immediate implants. I don’t find the negative effects to be clinically significant b/c the site to continually bleeding. I don’t use it for healing post op and many other situations but after extracting infected teeth and those…
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