Implant Ninja | Justin | Activity

Justin posted an update: I have a patient that I am placing an implant on #19. He […]

Thu, 05 Dec 2024 21:01:13 -0800

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 place an implant on #20 in the future in mind. I know the minimum distance from an adjacent tooth is 1.5-2mm and distance away from an implant is 3mm. However,…

Justin posted a new activity comment

Wed, 27 Nov 2024 13:05:32 -0800

@javohiros it was a 3.5 x 8. Ideally I would have placed a longer implant but there was a radiolucent area on the pre-op CT that I didn’t want to drill into. It was subcrestal at placement but I believe I lost some bone due to the inflammation.

In reply to - Justin posted an update

Hello Everyone,

I have a patient I recently saw for an impression for an implant crown. I completed a two stage implant surgery. I didn’t note any complications at time of implant […]

Justin posted a new activity comment

Wed, 27 Nov 2024 11:26:49 -0800

@ivan-chicchon Would you recommend an antibiotic?

In reply to - Justin posted an update

Hello Everyone,

I have a patient I recently saw for an impression for an implant crown. I completed a two stage implant surgery. I didn’t note any complications at time of implant […]

Justin posted a new activity comment

Wed, 27 Nov 2024 10:53:34 -0800

@ivan-chicchon thanks for the reply Ivan!

1. Yes the healing abutment was brand new.

2. I created an “X” incision over the implant and hand tightened the abutment. Based on your response I’m guessing I did not retract the tissue enough and some was stuck between the abutment and implant. Would you recommend a mid crestal incision next… Read more

In reply to - Justin posted an update

Hello Everyone,

I have a patient I recently saw for an impression for an implant crown. I completed a two stage implant surgery. I didn’t note any complications at time of implant […]

Justin posted a new activity comment

Tue, 26 Nov 2024 18:30:17 -0800

@jostanger it looked all the way down to me in the radiograph. Overall her oral hygiene is great. I’ll instruct her to brush the healing abutment for the next two weeks.

In reply to - Justin posted an update

Hello Everyone,

I have a patient I recently saw for an impression for an implant crown. I completed a two stage implant surgery. I didn’t note any complications at time of implant […]

Justin posted an update: Hello Everyone,I have a patient I recently saw for […]

Tue, 26 Nov 2024 17:29:31 -0800

Hello Everyone,

I have a patient I recently saw for an impression for an implant crown. I completed a two stage implant surgery. I didn’t note any complications at time of implant placement or uncovering.

The patient returned after three weeks for her impression. I noticed some inflammation surrounding the buccal of the healing abutment. There…

Justin posted a new activity comment

Mon, 25 Nov 2024 19:17:02 -0800

My goal is to place 30+ implants in my office in 2025.

I’d like to become more comfortable reading CBCT’s and understanding surgical guide fabrication. Then be able to use that knowledge to decide if I want to do a case free handed or guided.

In reply to - Ivan posted an update

What are some goals and challenges that you are working on?

Justin posted a new activity comment

Tue, 12 Nov 2024 06:35:05 -0800

Thanks Ivan this response is super helpful!

In reply to - Justin posted an update

Hello,

I recently placed an implant that I’m worried about the prognosis. My previous cases have all been free handed. I had my lab make a guide for this case. I ended up relying too much […]

Justin posted an update: Hello,I recently placed an implant that I’m worried about […]

Mon, 11 Nov 2024 21:46:18 -0800

Hello,

I recently placed an implant that I’m worried about the prognosis. My previous cases have all been free handed. I had my lab make a guide for this case. I ended up relying too much on the guide and placed the implant too close to the adjacent tooth (0.8mm). Has anyone else placed one this close and had it fail or be successfull? Im…

Justin posted an update: What would you do here for possible implant in 21 […]

Thu, 26 Sep 2024 15:13:54 -0700

What would you do here for possible implant in 21 location? Space is limited ~6mm. My PA measures 6.5 between roots and 5.7 between crowns. I was able to get a 6mm caliper between the contacts.

1) Enamelplasty

2) Ortho to open space

3) 3.2mm diameter implant

Justin posted an update: I have this implant case for tooth #28. I am worried […]

Thu, 20 Jun 2024 15:12:39 -0700

I have this implant case for tooth #28. I am worried about the anterior loop of the IAN here. It looks like it terminates at slice 62 and 63 but then I have a circular radiolucent area in slice 65. Do you think this is still the mental? If so I have about 10mm from the crest of the ridge. Do you think I’d be safe with an 8 mm implant here?

Justin posted an update: What are your thoughts on what this radiolucent area in […]

Mon, 10 Jun 2024 19:06:06 -0700

What are your thoughts on what this radiolucent area in the anterior mandible could be? Should I be concerened with placing an implant into it?

Justin posted an update: For an mandibular 2 implant overdenture what do you think […]

Thu, 06 Jun 2024 17:53:20 -0700

For an mandibular 2 implant overdenture what do you think is bare minimum width for a 3.2mm implant? I know we try for 1.5 mm but I also know Ivan said we could get away with 1mm for lateral incisors. Is this the case for an overdenture in this area too?

Justin posted a new activity comment

Wed, 22 May 2024 22:44:03 -0700

How far would be too sub crestal?

In reply to - Justin posted an update

When placing two immediate implants for a mandibular overdenture how deep sub crestal would you recommend to place the implants?

Justin posted a new activity comment

Fri, 17 May 2024 18:08:47 -0700

Here are some screenshots of the CT for the case I am planning. Should I be concerned about the circular radiolucent area below 22 on page 2? When I traced it back I only saw it in a few segments. I remember Ivan saying there could be anterior branches of the IAN or vasculature in this region.

In reply to - Justin posted an update

When placing two immediate implants for a mandibular overdenture how deep sub crestal would you recommend to place the implants?

Justin posted a new activity comment

Fri, 17 May 2024 15:03:45 -0700

For immediate implants do you prefer to place in the lateral socket, canine socket or interproximal bone between? For my case I have plenty of vertical bone but the width would be a little tight for a 4mm diameter implant in the lateral location but I would have more room in the canine location. I do have a 3.2 diameter implant I could place…

In reply to - Justin posted an update

When placing two immediate implants for a mandibular overdenture how deep sub crestal would you recommend to place the implants?

Justin posted an update: When placing two immediate implants for a […]

Mon, 13 May 2024 20:07:05 -0700

When placing two immediate implants for a mandibular overdenture how deep sub crestal would you recommend to place the implants?

Justin posted an update: Hello All, I have placed 15 free handed implants so far […]

Fri, 26 Apr 2024 13:19:07 -0700

Hello All,

I have placed 15 free handed implants so far but they have been on very straight forward cases with a lot of bone and far proximity of the sinus. This patient is a family friend and I would be doing the case for free. I’m contemplating testing my abilities with this case. It looks like I can sneak in an 8mm implant but may have…