• PERI IMPLANTITIS.

    As a periodontist it is truly the bane of my existence. But, it happens to the best of us. Sometimes it’s completely out of our control for patient factors or general lack of follow up. For those patients in your practice though with consistent follow up care, it can be the most frustrating.

    So my question is– what are…

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    Jedediah and Ivan
    2 Comments
    • Honestly, I don’t probe unless there is an issue. When there’s an issue I probe with a plastic probe. We take follow up PA’s whenever they’re called for with their regular dental treatment.

      I’d love to learn from you @jostanger As a periodontist at a perio practice I would love to hear what your protocols are!

      • I check occlusion once a year on implants, and have hyg probe at least once a year. The depth is not as important as long as there is no bleeding.

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        1
      • Reply to Upper Anterior Implant Position

        I agree with Ivan that you might have bone there (also agree don’t flap it lol). These things happen and we learn from them!

        dtberat_dds and Ivan
      • What implants is everyone using? And what made you choose that system?

        When I was in perio residency, we used about 5-6 systems just to get a feel for them all and see how things differed. But in practice there is so much to consider (price, healing, ease of use for surgical and restorative).

        So I’m interested in what people are using!

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        Ivan and Jedediah
        2 Comments
        • Well, yall know what I’m using haha! Been exclusively using Implant Club for many years now 😁

          But would love to hear what everyone else is using! 🙂

          • I used to place almost all Neodent, now I have been placing more and more Implant Club 😅. Still placing Zeramex for Zirconia Implants.

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            1
          • Tough tough overall case. Patient is a 15yo female with aggressive perio. Cases like this take careful planning and consideration because youre trying to plan for the next 60+ years.

            I’m partnering with a prosthodontist for this case and we have a tentative tx plan but I’d love to hear outside opinions!

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            Nolan, 87madrigal and 4 others
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            • I simply refuse to believe they are 15 🙁 that’s so sad!

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            • That is so tough! Definitely not your run-of-the-mill case! I would love for you to share some of the options we should be considering here.

              Specifically your thoughts on implants in a person so young!

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            • Reply to #10 implant site

              You are totally right that palatal bone is less likely to get resorption or peri-implantitis and that most problems occur on the buccal. However, as a periodontist I often get cases sent to me where they went too palatal and now there’s no palatal support for the implant. 1.5-2mm buccal and palatal is a recipe for success in my book.

              drcajee and Jedediah