Implant Ninja | jostanger | Activity https://implantninjadojo.com/members/jostanger/activity/ Activity feed for jostanger. Sun, 19 Apr 2026 02:29:47 -0700 https://buddypress.org/?v=2.15.3 en-US 30 hourly 2 584db903faf5953b76d7e375763aa186 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4476/#acomment-4497 Wed, 15 Jan 2025 18:05:24 -0800 I usually save guides for more “tricky” cases. But I also don’t have the best workflow at my office on getting them since the previous docs never did guided. I think I’ll be incorporating more as time goes.

In reply to - 87madrigal posted an update

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 […]

]]> cba5060306d3c27b9548929c1c916c12 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4482/#acomment-4496 Wed, 15 Jan 2025 18:03:38 -0800 Any other medical conditions or medications to consider?

In reply to - Can posted an update

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

]]> f6195dafd774e13a453acbe51fe72870 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4485/#acomment-4495 Wed, 15 Jan 2025 18:02:53 -0800 Your CBCT snapshot looks good to me! Sometimes we do have to make compromises given what’s there and you can monitor and keep them on a good recall schedule.

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 […]

]]> eb2ea7f0351cc7cc4f5df1339d9d068e jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4437/#acomment-4494 Wed, 15 Jan 2025 17:59:53 -0800 @drcajee Not in particular. Just any blanket advice as I think about diving into one.

In reply to - jostanger posted an update

Practice question— does anyone have a partner or work in a group practice? I might be buying into one and id love any advice on how to handle partner dynamics!

]]> 853f383e8a6471a9d46ded72ba41381d jostanger posted an update: Practice question— does anyone have a partner or work in a […] https://implantninjadojo.com/activity-feed/p/4437/ Tue, 31 Dec 2024 15:44:11 -0800 Practice question— does anyone have a partner or work in a group practice? I might be buying into one and id love any advice on how to handle partner dynamics!

]]> 4 979a720afa468927c7006dfc96f14d9e jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4396/#acomment-4436 Tue, 31 Dec 2024 15:41:56 -0800 I also do a similar process of doing small amounts at a time to make sure I have it where I want it

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 […]

]]> 7373087daa66bc5bab0af08df6a84caf jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4415/#acomment-4435 Tue, 31 Dec 2024 15:35:49 -0800 Especially with pressure from patients to hurry up and get it all done. Great case!!

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 […]

]]> 37d510efa52ae9c1fa21f3ed2b21104c jostanger posted an update: As discussed in one of the previous posts on mini […] https://implantninjadojo.com/activity-feed/p/4387/ 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…

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]]> 1 c57e987a19db282864b475ff798afb67 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4351/#acomment-4386 Wed, 18 Dec 2024 16:29:44 -0800 Oooo I love this idea!

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? […]

]]> 53f040f53c56c32200aaa6b1e5cb7e14 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4165/#acomment-4385 Wed, 18 Dec 2024 16:26:59 -0800 @ivan-chicchon I probe! But that’s really inherent to the patients in our practice because we get referred a lot of peri implantitis or patients with generalized perio. I also find if I can get it under control at the mucositis stage it’s helpful long term. We’re really gentle though and definitely treat them different than teeth.

In reply to - jostanger posted an update

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 […]

]]> c206581562ff6371fde569e933a19b6d jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4360/#acomment-4384 Wed, 18 Dec 2024 16:24:39 -0800 Sinus perforations happen to the best of us! I do work closely with an ENT so when there are complications/issues I’ve got someone on my “team”. If you don’t have a relationship with one I would highly recommend!

I agree though that it’s likely to be pretty uneventful. And let’s say you get NO bone around the apex, the sinus will still likely…

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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 […]

]]> 4973d849a292752a7b7583bdd85a1314 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4303/#acomment-4321 Wed, 11 Dec 2024 15:59:33 -0800 Oooo I want to know about this tool! I have just drilled it out which is a nightmare or buried them.

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.

]]> 56daf6b84f7774137d7da22466d06f9f jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4288/#acomment-4320 Wed, 11 Dec 2024 15:58:18 -0800 This is really crazy. Thankfully I’ve never had to deal with that myself but in general you have to open up a window and get it out of these. When it’s that high up that’s a bit crazier

In reply to - Nick posted an update

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

]]> fa1277ad80dcffee929598d9f31ad1b4 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4285/#acomment-4319 Wed, 11 Dec 2024 15:54:17 -0800 I agree that as long as you have a good emergence (which like Ivan said you can do when you place, hr you may not need it) you should be golden!

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 […]

]]> c58ed394c96320c412d9b8e72525812f jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4262/#acomment-4318 Wed, 11 Dec 2024 15:51:53 -0800 This gives me so much anxiety lol

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!

]]> 6cbb4d5d97264188062d63111f94ee50 jostanger posted an update: PERI IMPLANTITIS. As a periodontist it is truly the bane […] https://implantninjadojo.com/activity-feed/p/4165/ Tue, 03 Dec 2024 16:36:33 -0800 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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]]> 3 36137e4cc3911d837594bcd040aa3260 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4132/#acomment-4148 Tue, 03 Dec 2024 01:00:43 -0800 I think for me what happens is there’s one incident maybe that is not what I want– a surgery didn’t go well, or post op complications etc. And then instead of taking it in stride I start to worry about everything more, and of course more things go off. I think focusing on how GOOD you are and how much you care about your patients can really help.

In reply to - Mic posted an update

When MLB players and athletes hit a slump, it’s often because their fundamentals are just slightly off. Does anyone ever feel that way clinically? Maybe things aren’t lining up quite […]

]]> bb77c97da51220d443d83796aec4fd75 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4132/#acomment-4147 Tue, 03 Dec 2024 00:58:10 -0800 @ivan-chicchon ugh you are so right!! I need to get back into exercising post partum.

In reply to - Mic posted an update

When MLB players and athletes hit a slump, it’s often because their fundamentals are just slightly off. Does anyone ever feel that way clinically? Maybe things aren’t lining up quite […]

]]> 9087fe42d3bc3a3c75fccdfca2443fdb jostanger replied to the discussion Upper Anterior Implant Position in the forum Implant Tx Planning https://implantninjadojo.com/forums/topic/upper-anterior-implant-position/#post-9482 Mon, 02 Dec 2024 21:08:36 -0800 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!

]]> 94975421101b9de5f0ca22b6f5b1a5b8 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4086/#acomment-4140 Mon, 02 Dec 2024 21:06:27 -0800 We normally don’t! Our practice accountant doesn’t advise it so we just don’t and I’ve never looked more into it LOL

In reply to - Ivan posted an update

End-of-year purchases for tax purposes

Do you guys buy materials or equipment to offset taxes? I’ve always sort of done this as sort of a kneejerk reaction to saving some taxable income, […]

]]> 978f984206529d14549dd131b7511d7a jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/4101/#acomment-4139 Mon, 02 Dec 2024 21:04:21 -0800 Without a CBCT it’s impossible to know for sure— if you have a friend who has a CBCT you can ask if they can take one as a courtesy and send you the disc. How is the patient doing post op? (I find a lot of perforations have complications as listed above)

In reply to - rroque29 posted an update

Hey guys first time post. Ive bren trying to learn more about implants and doing my best to get better and better as a clinician.

The other day I placed an implant and tried to do […]

]]> 9b7ef6056615a87eaaa0c61fbccd9e9c jostanger posted an update: What implants is everyone using? And what made you […] https://implantninjadojo.com/activity-feed/p/3978/ Wed, 27 Nov 2024 13:22:25 -0800 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!

]]> 2 4b06460293b6b7ad37ae92eb50217d4e jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3952/#acomment-3977 Wed, 27 Nov 2024 13:12:52 -0800 @ivan-chicchon when it’s so minimal I honestly just leave it. Sometimes I find at this stage you can do more damage by trying to fix it than letting it be when it’s so minor.

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 […]

]]> 5d5340f319c3b15933bed4c5326f4a7b jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3952/#acomment-3963 Tue, 26 Nov 2024 18:24:08 -0800 Was the healing abutment down all the way? Typically nothing should get between the healing abutment and implant if that connection is snug. I’ve seen ones where stuff gets in there with it not being down all the way.

Oral hygiene? This absolutely makes a difference when you have a fresh surgical site (even just for an uncovery) and can cause…

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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 […]

]]> 30f54aa1082a56d9e71335c9e0c3bb12 jostanger posted a new activity comment https://implantninjadojo.com/too-close-for-comfort/#comment-25 Tue, 26 Nov 2024 18:20:54 -0800 1fd388508800b7910d7694fa96ae1e2f jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3923/#acomment-3961 Tue, 26 Nov 2024 18:15:20 -0800 I’m working on updating some workflows at my practice and trying to digitize a lot of our SOPs.

In reply to - Ivan posted an update

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

]]> 114efae81037861aaebd6323bd4fd2eb jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3848/#acomment-3864 Wed, 20 Nov 2024 15:16:34 -0800 Absolutely!

For a female we are trying to wait until 18yo before any implant placement. If you place them too early while they are still growing, the implant can be in the completely wrong position once they are done growing.

In a case like this with a young patient with severe severe perio our main goal is to stabilize her. This means getting…

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In reply to - jostanger posted an update

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. […]

]]> 4e75b62658114fa4282b763c3d950db3 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3848/#acomment-3856 Wed, 20 Nov 2024 12:11:53 -0800 @RYAN I know! It’s more rare to see it but it’s so sad when you do.

In reply to - jostanger posted an update

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. […]

]]> 259d63160436fb2f253e59269a5ce47c jostanger posted an update: Tough tough overall case. Patient is a 15yo female […] https://implantninjadojo.com/activity-feed/p/3848/ Wed, 20 Nov 2024 00:39:16 -0800 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!

]]> 5 bd4299b473b1416983e8d35e45b2f16b jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3826/#acomment-3847 Wed, 20 Nov 2024 00:36:02 -0800 @ivan-chicchon Saline! Rinse it out like crazy LOL

In reply to - drcajee posted an update

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 […]

]]> e1a0ff052e41d05afea0286a7aded18f jostanger replied to the discussion #10 implant site in the forum Implant Tx Planning https://implantninjadojo.com/forums/topic/10-implant-site/#post-8021 Tue, 19 Nov 2024 16:32:31 -0800 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.

]]> ce71655abfe9db7606e3c0199dbf0d31 jostanger posted a new activity comment https://implantninjadojo.com/activity-feed/p/3826/#acomment-3832 Tue, 19 Nov 2024 15:53:35 -0800 Because CHX can inhibit fibroblasts and osteoblasts I’m always wary of using it in these cases. I go the systemic abx route.

In reply to - drcajee posted an update

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 […]

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