Implant Ninja | Ivan | Favorites

rez posted an update: HI Guysi am a bit confused on PRF & CGF (sticky […]

Tue, 14 Jan 2025 21:52:40 -0800

HI Guys

i am a bit confused on PRF & CGF (sticky bone),mostly the RPM & time to prepare for sticky bone.

I understand A-PRF (PRF membrane) is 1300 rpm at 8 minutes (red tube), is the CGF (sicky bone0 is i-PRF which is red tube at 7oo RPM for 3 minutes then mixed with allograft? I understand each centrifuge has its own settings!

Can someone…

Can posted an update: Hi guys, I have a problem with an implant that I […]

Fri, 10 Jan 2025 17:54:53 -0800

Hi guys, I have a problem with an implant that I placed three months ago. bone was good, my torque 45 nm, the patient does not smoke, what could be the cause of this situation

Aman posted an update: Anyone have any recommendations for a universal […]

Fri, 10 Jan 2025 17:40:52 -0800

Anyone have any recommendations for a universal implant driver? Tryna make a universal kit

87madrigal posted an update: Posterior implant placement with a surgical guide: a […]

Fri, 10 Jan 2025 03:58:09 -0800

Posterior implant placement with a surgical guide: a case that highlighted the value of precision, even in favorable conditions.

This patient had abundant posterior bone, which made planning and execution straightforward but no less important. Here are the lessons reinforced during this case:

1. Guided Surgery Refines Precision: Even with…

drcajee posted an update: Hey guys. Last week, while I was in the middle of a FBI […]

Tue, 07 Jan 2025 19:28:54 -0800

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…

jorbrown posted an update: Distance between implants? Do we still keep 3 mm of […]

Tue, 07 Jan 2025 18:55:23 -0800

Distance between implants? Do we still keep 3 mm of bone between implants?

drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning

Mon, 06 Jan 2025 16:13:46 -0800

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

The Role of Platelet-Rich Fibrin (PRF) in the Prevention of Medication-Related Osteonecrosis of the Jaw (MRONJ) - PMC

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 ...

87madrigal posted an update: Merry Christmas everyone!! Sometimes, patience is the […]

Wed, 25 Dec 2024 17:44:10 -0800

Merry Christmas everyone!!

Sometimes, patience is the best treatment plan.

As much as I love placing implants right after an extraction, sometimes biology needs a little time to work its magic. Here’s a case of an anterior tooth extraction where we decided to graft and wait rather than placing an implant immediately. Why? Because sometimes the…

drgene1 posted an update: Merry Christmas Ivan, and have a Happy implant ninja New Year

Wed, 25 Dec 2024 13:04:21 -0800

Merry Christmas Ivan, and have a Happy implant ninja New Year

rez posted an update: I understand that we have to place the implants in the […]

Fri, 20 Dec 2024 18:46:45 -0800

I understand that we have to place the implants in the ant. areas ideally at the cingulum area, is that the same you do for the Mandibular anterior as well? i am wondering since the upper & lower Ant have limited bone availability & we have to place them in a projection angle that gives screw access on the palatal (of course there those…

jostanger posted an update: As discussed in one of the previous posts on mini […]

Wed, 18 Dec 2024 16:38:21 -0800

As discussed in one of the previous posts on mini implants. For me they can be a pain to get out. I had this patient with bleeding and suppuration around these implants. I discussed with patient long term prognosis and she wanted to keep as ling as possible. So I did aome graftint and it actually turned out pretty good! Tissues are nice…

tannersmenard posted an update: Just received my box of implant ninja books at the […]

Tue, 17 Dec 2024 23:31:40 -0800

Just received my box of implant ninja books at the practice! Excited to dig into some holiday reading. 😅

drcajee posted an update: I was thinking yesterday, could I substitute Liquid […]

Tue, 17 Dec 2024 19:11:34 -0800

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?

87madrigal posted an update: Looking back at a case I did a few years ago, I’ve […]

Fri, 13 Dec 2024 23:12:02 -0800

Looking back at a case I did a few years ago, I’ve realized how much my approach has evolved.

I placed two implants in the posterior region using guided surgery. At the time, I chose a tissue punch technique because there was plenty of keratinized tissue, and it felt like the most minimally invasive option. The implants healed well, and the…

drcajee posted an update: Rethinking Everyday Instruments: The Case of […]

Fri, 13 Dec 2024 19:30:58 -0800

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…

drahcirthefrog posted an update: Hello everyone! I'm a recent grad so I have very […]

Fri, 13 Dec 2024 07:49:42 -0800

Hello everyone! I’m a recent grad so I have very little experience with implants. A pt came today and said their crown broke off. We got ahold of the implant system (Hiossen) and I got the correct driver but i could not even get the driver down the abutment hole. I use 5.5x loupes and im pretty sure I can see a screw down at the end. 1. Do I… Read more

Dr. replied to the discussion #10 implant site in the forum Implant Tx Planning

Thu, 12 Dec 2024 17:45:04 -0800

Reply to #10 implant site

Thank you everyone for your input and help!

jorbrown posted an update: Case here for a maxillary partial overdenture. How do […]

Thu, 12 Dec 2024 15:17:13 -0800

Case here for a maxillary partial overdenture. How do these positions look prosthetically in respect to their existing partial? I placed them as best I could. Also how far subcrestal should I am for? 1-2mm?