Implant Ninja | Ivan | Activity

Ivan posted a new activity comment

Thu, 16 Jan 2025 00:39:22 -0800

There are a lot out there now! You can actually find a kit on amazon even. https://amzn.to/4fXkPGh

In reply to - Aman posted an update

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

Ivan posted a new activity comment

Thu, 16 Jan 2025 00:38:08 -0800

Hey @jkardynal51 madr a quick video for ya. But yes in general it’s still okay, and in this case it sort of helps you prepare and plan for the possible outcomes. For example, you’d know that you might get some bone loss so plan ahead for that 🙂

In reply to - Joseph posted an update

Curious of other opinions on a case..

#10 implant placed 10 years ago.. #11 was badly resorbing and has since been removed and grafted with 3+ months healing Pictures are from before […]

Ivan posted a new activity comment

Thu, 16 Jan 2025 00:37:02 -0800

In reply to - Joseph posted an update

Curious of other opinions on a case..

#10 implant placed 10 years ago.. #11 was badly resorbing and has since been removed and grafted with 3+ months healing Pictures are from before […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:53:01 -0800

Hey there @drgene1 Thanks man! I was out sick for a little while! Seems like everyone was taken out by a crazy flu this year. I’m back at it now. I hope you had a nice time with your loved ones!

In reply to - drgene1 posted an update

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

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:52:12 -0800

I love that. Patience is the most difficult skill to master tho! haha

In reply to - 87madrigal posted an update

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 […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:52:10 -0800

I love that. Patience is the most difficult skill to master tho! haha

In reply to - 87madrigal posted an update

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 […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:50:28 -0800

Also this one: Dess Abutments.

It’s hard to beat Dess. They offer abutments for everything. And they do it…

In reply to - rez posted an update

i was wondering if you can tell me where you buy your angled abutments & locators (as you mentioned for $30-40), Also the non engaging abutments are the same as temp cylinders or […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:49:46 -0800

I have 2 vendors to recommend:

Edison Medical (they used to be called Dibay and were a better company IMO but they still offer the same parts)
https://edisonmed.com/?srsltid=AfmBOopw7hBVOfLpNsMyXTw7RXJpgO9xQw_imrfz7EIrBunJHh5YCBWH#

In reply to - rez posted an update

i was wondering if you can tell me where you buy your angled abutments & locators (as you mentioned for $30-40), Also the non engaging abutments are the same as temp cylinders or […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:47:55 -0800

I place some with the bone syringe and then i pack it with a condenser. You don’t want to pack it crazy tight as you still want some blood to soak in there.

In reply to - jorbrown posted an update

How do you ensure your graft gets to the apex? I completed site preservation today and it is the first time I have done it since residency (2021). The graft in some areas that you see […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:47:25 -0800

It’s true, I wouldn’t worry too much about little voids. However, I do like to use something like this to make the transfer of bone easy as well as help reduce my…

In reply to - jorbrown posted an update

How do you ensure your graft gets to the apex? I completed site preservation today and it is the first time I have done it since residency (2021). The graft in some areas that you see […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:45:04 -0800

I just removed some, I’ll see if i can edit the video and post it asap

In reply to - jostanger posted an update

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 […]

Ivan posted a new activity comment

Fri, 27 Dec 2024 18:44:39 -0800

@RYAN have you used it? How’s it work?

In reply to - drcajee posted an update

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 […]

Ivan posted a new activity comment

Wed, 18 Dec 2024 16:06:41 -0800

yasssss!!!!Glad you got that! Let me know how you like it!

In reply to - tannersmenard posted an update

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

Ivan posted a new activity comment

Sat, 14 Dec 2024 15:44:03 -0800

@drcajee hell yes I do. I know some manufacturers, I’m sure you do too! You should have this made. I would buy one from ya!

In reply to - drcajee posted an update

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? […]

Ivan posted a new activity comment

Sat, 14 Dec 2024 15:25:43 -0800

Dude, whaat this is sick

In reply to - drcajee posted an update

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? […]

Ivan posted a new activity comment

Sat, 14 Dec 2024 15:24:46 -0800

Thanks for the reflection man. l am the same, I used to do more punches as well.

Although this case in particular looks like there is loads of tissue! So I still might be lazy lol

I am usually doing small flaps and placing a stock healing abutment. Per our discussion on a post a little while back, I got a Cervico set and am going to use it to…

In reply to - 87madrigal posted an update

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 […]

Ivan posted a new activity comment

Sat, 14 Dec 2024 15:20:21 -0800

Thanks for sharing this man. Seems to me like there is graft at the apex in the second image. It seems a little diffuse so this coincides with what you mentioned about a sinus perforation. Im thinking that you did have a perforation but that you did manage to lift the membrane a little bit as well.

I think the membrane will heal over and that…

In reply to - rroque29 posted an update

Wanted to post an update related to my last post (with better images).

It was my first crestal sinus lift with densah burs. I was not sure if I had a successful sinus ‘bump’.

Again […]

Ivan posted a new activity comment

Fri, 13 Dec 2024 08:20:35 -0800

I wrote a short article on the topic not too long ago. Maybe it helps! https://implantninjadojo.com/how-to-access-an-implant-crown/

In reply to - drahcirthefrog posted an update 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 […]

Ivan posted a new activity comment

Fri, 13 Dec 2024 08:20:00 -0800

Thanks for posting Richard, You can actually do it either way. However, the preferred way would be to:

1. access the screw channel and successfully remove the abutment.

2. Take an impression

3. Send the impression and abutment to the lab

Doing it this way would avoid extruding cement all around that implant.

It does take some care and some time…

Ivan posted a new activity comment

Fri, 13 Dec 2024 06:17:07 -0800

That said, you don’t want those anterior implants to come out too far on the palate because you’ll run out of restorative space. It’s a balance.

One solution for the anterior might be to use some angled locators on those. They fix that up real quick.

2mm subcrestal would be good. Hardest thing on this case will be making sure you have…

In reply to - jorbrown posted an update

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 […]

Ivan posted a new activity comment

Fri, 13 Dec 2024 06:14:37 -0800

These positions look okay to me–but i might suggest some slight modification. So, because this is a partial, the implants don’t necessarily need to follow the angulation of the teeth.

Instead, the things to try to optimize for aside from bone availability are:

1. Parallelism between the fixtures. It would be great to try to get them…

In reply to - jorbrown posted an update

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 […]

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

Fri, 13 Dec 2024 06:10:40 -0800

Reply to #10 implant site

You’re very welcome! Hope it was useful!

Ivan posted a new activity comment

Wed, 11 Dec 2024 21:21:27 -0800

@drhannahtsai I would love to think through how to game plan this.

I’ve done brand building in a scattershot way before. I did a lot of stuff and I eventually got referrals.

But I couldn’t exactly pinpoint what stuff brought in the referrals.

@jorbrown you are a likable outgoing guy.

I’m more of an introvert, so it would be easier for me to…

In reply to - jorbrown posted an update

Building Your Personal Brand as a Local Dentist: The Best Approach

Let’s talk about personal branding as a local dentist. It’s not just about being good at what you do—although […]

Ivan posted a new activity comment

Wed, 11 Dec 2024 20:35:22 -0800

@RYAN to be honest I’m not sure. I’ll ask the person who submitted it. I believe it was just a case of accidental overprepping

In reply to - Ivan posted an update

Well THATS not somethin you see every day. And actually the patient was fine. Luckily the drilling was lingual to the actual nerve canal.

Dont try this one at home!

Have a great weekend yall!

Ivan posted a new activity comment

Wed, 11 Dec 2024 20:27:49 -0800

@ramseywarner Not too long ago I was researching patents in this space—

I found some patents for devices that heat up implants. The idea is they would transfer heat that kills the surrounding bone. Then you would wait for a couple weeks and the implant would be loose.

I don’t know if that has become a product yet however. Interesting… Read more

In reply to - Khurrum posted an update

Has anyone had any experience removing mini implants? Any tips or recommendations. These are 3M small diameter 2.4X10.

Ivan posted a new activity comment

Wed, 11 Dec 2024 07:24:57 -0800

@Chris my pleasure dude!

In reply to - chris posted an update 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 […]

Ivan posted a new activity comment

Wed, 11 Dec 2024 05:13:54 -0800

I’ll record my procedure for you. Often the come right out with the mini implant insertion tool. You just turn it counterclockwise. 🤞🏼

In reply to - Khurrum posted an update

Has anyone had any experience removing mini implants? Any tips or recommendations. These are 3M small diameter 2.4X10.

Ivan posted a new activity comment

Wed, 11 Dec 2024 04:01:39 -0800

I’m actually do this exact same thing next week. When are you doing it?

In reply to - Khurrum posted an update

Has anyone had any experience removing mini implants? Any tips or recommendations. These are 3M small diameter 2.4X10.

Ivan posted a new activity comment

Tue, 10 Dec 2024 23:13:08 -0800

Thanks for the question @nguyenanhduytrung . It sounds like your implant was not stable at the delivery appointment.

I believe I have had an implant or 2 that eventually integrates after initially being unstable. However, MOST implants that show rotational instability after the healing period–end up just needing to be removed, unfortunately.

In reply to - Vũ Anh posted an update

It is not easy for a fresh doc (just graduated 6 months ago) to face a case of OCA without any instructor around. I was attempting to screw in the customized abutment, when I use […]

Ivan posted a new activity comment

Tue, 10 Dec 2024 23:08:17 -0800

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…

Ivan posted a new activity comment

Tue, 10 Dec 2024 23:03:30 -0800

this one’s a doozy, not sure what I would do in this case !

In reply to - Nick posted an update

Remember if you think you are having a bad day, think about this dentist. 😳

Ivan posted a new activity comment

Tue, 10 Dec 2024 23:02:53 -0800

1-2mm subcrestal should be fine for the implants you got Hannah 🙂 What I like to do is to adjust bone at time of implant placement simply so that you have decent clearance for the future impression parts and abutment.

Once you have used all the implant drills and right before you place your implant, you can just use a small round bur to create…

In reply to - HANNAH posted an update

Hi all, Im trying to place a single unit #13. Due to boneloss, it looks like the buccal side is longer than the palatal side. If I were to place #13 completely submerged, 1mm subcrestal […]

Ivan posted a new activity comment

Tue, 10 Dec 2024 22:58:09 -0800

@drhannahtsai ZBLC stands for zero bone loss concept – its a term popularized by a Book by a Lithuanian (I think) doctor by that name.

In reply to - HANNAH posted an update

Hi all, Im trying to place a single unit #13. Due to boneloss, it looks like the buccal side is longer than the palatal side. If I were to place #13 completely submerged, 1mm subcrestal […]

Ivan posted a new activity comment

Sun, 08 Dec 2024 21:06:15 -0800

Can you explain what OCA is?

In reply to - Vũ Anh posted an update

It is not easy for a fresh doc (just graduated 6 months ago) to face a case of OCA without any instructor around. I was attempting to screw in the customized abutment, when I use […]

Ivan posted a new activity comment

Sun, 08 Dec 2024 03:50:39 -0800

@suredds yup! Lots to worry about on this one. It was one of the cases sent to me for the complications book 😳

In reply to - Ivan posted an update

Well THATS not somethin you see every day. And actually the patient was fine. Luckily the drilling was lingual to the actual nerve canal.

Dont try this one at home!

Have a great weekend yall!

Ivan posted an update: Well THATS not somethin you see every day. And actually […]

Sat, 07 Dec 2024 16:10:36 -0800

Well THATS not somethin you see every day. And actually the patient was fine. Luckily the drilling was lingual to the actual nerve canal.

Dont try this one at home!

Have a great weekend yall!

Ivan posted a new activity comment

Fri, 06 Dec 2024 18:55:08 -0800

@suredds agreed!

In reply to - Justin posted an update

I have a patient that I am placing an implant on #19. He is missing #18 and #20 has class II mobility due to trauma from occlusion. I would like to place #19 with possibly having to […]

Ivan posted a new activity comment

Fri, 06 Dec 2024 05:34:18 -0800

@kssheikh Oh man this is a great idea for an article!

In reply to - Khurrum posted an update

Has anyone had experience placing implants on a patient with Charcot-Marie-Tooth disease? Pt is in need of 2 implants but given the disease are there additional precautions needed?

Ivan posted a new activity comment

Fri, 06 Dec 2024 05:33:28 -0800

Hi there @mertkrc Great to have you here man! Have you used denture duplicate with an alveoplasty guide marked on there? They are a very easy way to approximate how much bone reduction needs to be done.

I usually use a large round bur to level out the bone. I like to use a steriilized pencil to mark the bone to help me keep a good reference…

In reply to - Mert posted an update

Hello everyone I’m Mert, an Oral Surgeon from Turkiye. Just popped in to ask a question for now, can anyone give me some pointers or a source with alveolar crest reduction for AOX, I’m […]

Ivan posted a new activity comment

Fri, 06 Dec 2024 05:30:10 -0800

@jorbrown You have inspired me man. My sister and I work with my mom and dad in our family clinic. Now I’m motivated to go pay visits to local spots like the fire department etc.

I’m gonna freshen up and get fitted out like you first tho. I usually walk around town with working boots and my t shirt usually have paint or something on…

In reply to - jorbrown posted an update

Building Your Personal Brand as a Local Dentist: The Best Approach

Let’s talk about personal branding as a local dentist. It’s not just about being good at what you do—although […]

Ivan posted a new activity comment

Fri, 06 Dec 2024 05:23:20 -0800

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…

In reply to - chris posted an update 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 […]

Ivan posted a new activity comment

Fri, 06 Dec 2024 05:14:57 -0800

Made a quick little diagram for ya. Does this help? You’re right that you should not place it within 2mm from #20. Besides that you need to consider the Mesio-Distal length of #20.

SInce the average MD length of a mandibular molar is 10mm, the furthest you’d want to start your prep is 5mm away from #20. As shown in diagram. LMK if that helps or…

In reply to - Justin posted an update

I have a patient that I am placing an implant on #19. He is missing #18 and #20 has class II mobility due to trauma from occlusion. I would like to place #19 with possibly having to […]

Ivan posted a new activity comment

Fri, 06 Dec 2024 03:29:34 -0800

Made it hard to schedule patients that’s for sure! 😳@wilczekio

In reply to - Ivan posted an update

What are you thankful for this year? 🙏🏼

Ivan posted a new activity comment

Thu, 05 Dec 2024 21:57:30 -0800

Ivan posted a new activity comment

Thu, 05 Dec 2024 16:10:29 -0800

I like this approach. Can we dig into how to make these visits a success?

What has worked for me in the past is sending letters to local dentists. In the letter I introduce myself and some of my services that they might not provide.

I have had mixed results from personal visits when I visit other dental offices

Often the front desk is skeptical…

In reply to - jorbrown posted an update

Building Your Personal Brand as a Local Dentist: The Best Approach

Let’s talk about personal branding as a local dentist. It’s not just about being good at what you do—although […]

Ivan posted a new activity comment

Thu, 05 Dec 2024 05:29:25 -0800

@tms105 thanks for the input Troy 👊🏼 I am also a freehand guy. But trying to incorporate more guided just because I get lots of people asking me questions about guides 🙂

In reply to - Joseph posted an update

For the implant Experts! Guided case #4 – grafted 3-4 months ago. Super ideal patient and ideal bone volume for 4.2 x9mm BH Pro taper implant. I know Ivan has talked about […]

Ivan posted a new activity comment

Thu, 05 Dec 2024 05:27:38 -0800

Thanks for being here Parsanjit 😁 Are you placing implants? Or are in the learning phase of it? Welcome to the community

In reply to - gill15 posted an update

Hlo everyone My self Parsanjit Singh from India (Punjab). I am newbie and trying to provide best treatment to my patient by learning things from great and experienced people and i am […]

Ivan posted a new activity comment

Thu, 05 Dec 2024 04:16:48 -0800

@RYAN I’ll let you know in a couple weeks!

In reply to - Ryan posted an update CUSTOM HEALING ABUTMENTS

Hey folks! Hope everyone had a wonderful thanksgiving!

I went down a custom healing abutment rabbit hole yesterday and wound up with a few lingering questions. […]

Ivan posted an update: Welcome! 👋🏼 If youre new or havent posted here before, […]

Thu, 05 Dec 2024 04:00:03 -0800

Welcome! 👋🏼 If youre new or havent posted here before, this is a SAFE JUDGEMENT-FREE zone to share, chat, and learn together.

Drop a question or just drop a line to say hello and introduce yourself!

We’re glad you’re here!

Ivan replied to the discussion UPPER OVERDENTURE CASE in the forum Implant Tx Planning

Thu, 05 Dec 2024 03:58:03 -0800

Reply to UPPER OVERDENTURE CASE

Haha nothing gave it away!

I ask about the lower arch because of the occlusal plane. See how it goes up in the anterior teeth as those teeth super erupt?

I wanted to know if that occlusal plane will be corrected. It’s okay to leave it as is, but if the lower teeth were compromised also, it would be great to correct the occlusion with both…