Study Club Member Khurrum
Study Club Member
0
Articles
-
Has anyone had any experience removing mini implants? Any tips or recommendations. These are 3M small diameter 2.4X10.
asima6 CommentsView more comments-
I’m actually do this exact same thing next week. When are you doing it?
1- View 1 reply
-
I’ll record my procedure for you. Often the come right out with the mini implant insertion tool. You just turn it counterclockwise. 🤞🏼
- View more comments
-
-
Khurrum posted an update a week ago
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?
-
Hello Khurrum, super interesting question here.
I have never personally dealt with a patient with this condition.
My understanding is that it is primarily the nervous system.
My main concerns regarding implants would be:
– not doing full arch fixed as patients would not be able to keep this clean.
– evaluating the local quality of bone at the…
2- View 2 replies
-
-
Khurrum posted an update 4 weeks ago
I know this is an implant study club but I wanted to share a disappointment I had in my most recent bone graft. Patient came in for second opinion and after going over options and non restorable #31 I extracted and grafted the site. Post op PA showed that the M canal and defect was still present. This did have a buccal wall defect and I placed…
View more comments-
So, when you say you decided to go back and pack more bone, do you mean you did that in the same appointment?
And how big was the defect on the buccal wall? I’m guessing it must’ve been pretty substantial.
1- View 1 reply
-
Here there Khurrum I’d love to hear the play by play for this case. Can you walk us through the exact steps you performed for this graft?
Also, do you routinely do rebuilds when there are buccal wall defects? I’d love a little more info to try to give you the best feedback I can 🙂
1 - View more comments
-
-
Khurrum posted an update 5 weeks ago
Placed an implant and healing abutment and patient came with overgrown tissue on lingual which is not soft or hard but a bump. At first I thought it was an ill-fitting interim denture and adjusted. Also placed a soft liner. She came back 2 weeks later still there. So I placed a taller healing abutment and adjusted her existing denture to not…
View more comments-
From the picture, it looks like some decent quality tissue that has built up over time. When you finish your new prosthesis and have proper tissue pressure everywhere, it might settle down slightly, but at this point, I would just leave it as it’s better to have that type of tissue than oral mucosa up against your locators. It looks like…
-
Have you tried adjusting the tissue at all? You could just use a 15 blade and trim it down a bit. It’s not the end of the world to have the tissue bulging like that but it can be a nuisance
1- View 1 reply
- View more comments
-
-
Khurrum posted an update 3 months ago
3 months ago (edited)
After un-covering buried implants for a mandibular overdenture, there was barely any keratinized tissue around the implants. 1mm at most. Instead of short locators, I’m thinking of getting the tissue around the implants better, are there techniques, materials, to do this non-invasively (meaning doing a complete re-flap)
-
Typically many periodontists would say the gold standard is a FGG to help in those type of cases. Also, placing your implants deeper especially in thin biotype patients will greatly improve those cases as well.
-
For vertical tissue growth, one successful technique i’ve been able to do especially in locator cases is using Alloderm. It will require a flap but essentially you release the flap like a GBR, use healing abutments to tack the alloderm along with sutures and close the flap. Don’t necessarily need air tight closure but I would definitely not…
-
-
Khurrum posted an update 5 months ago
I did a max overdenture and pt has good stability and retention. However in on spot approx where #11 would be he feels a give or push when he chews. Everything is engaged. I did a soft line to see if that helps. Any other suggestions with this overdenture?
-
If the implants are healthy, you can take a pano with the overdenture in to ensure they’re all properly seated equally. also ensure that tissue pressure is equal throughout the denture, especially around that area. as long as there’s no issues with the implant, those should address all the potential issues
-
-
Khurrum posted an update 5 months ago
What’s our study member’s thoughts on splinted crowns? Especially with two implants adjacent to each other like #12 and #13? Or even molars like #30 and 31?
-
Hey Khurrum. I would love to hear everyone’s opinion on this as well. Generally speaking, I prefer not to split implants unless I need to as it’s not nearly as hygienic or natural for the patient. However, if I have very short and narrow implants in the posterior region due to, not ideal bone and biology ramus. I will split those to the risk of failure.
1- View 2 replies
-
-
Khurrum posted an update 5 months ago
We all can agree you want a minimum of 1.5 between implant and tooth. What are the risks if it is 1.2 or 1.0. Are they ways to still have success?
Attached is a picture of an immediate implant placement after extraction, threading the needle. In the picture we had 1.5 mm but I know posts with pictures do better lol.
View more comments-
Yes, typically you want 1.5mm to 2 millimeters between tooth and implant however, sometimes in cases where it’s tight, we can’t achieve that. One possible complication can be bone loss overtime, or just rejection of the implant due to lack of blood supply. However, over many cases I have been much less than that with good outcomes, especially…
2 -
crest meaning placing the implant subcrestal? does having good bone bucally and lingually also help?
1 - View more comments
-
-
Khurrum posted an update 6 months ago
Question, after doing a full arch for an overdenture, (meaning placing 4 implants with cover screw, and primary closure), how long do you wait to remove sutures. I used PTFE. Is it recommended 3 weeks, 6 weeks, 2 weeks? Appreciate the help.
-
No official timeline it’s what you’re most comfortable with. I’ve done it at two weeks in the past, but I prefer three weeks as I see more consistent healing over a wide variety of patients so I always do three weeks. Six weeks is a really long time with those sutures in there And overkill in my opinion
3 -
I’d say any of those options except 6 weeks. PTFE stays super clean, I really like suturing with that!
1
-
-
Khurrum posted an update 8 months ago
I have a patient who has a cemented implant crown but wants it changed do to color. What techniques or methods do clinicians have to help remove the crown safely? I have tried to prep into crown searching for screw but that can be fruitless. Hoping some people have pearls.
View more comments-
This is certainly anxiety inducing and all I have ever done is go sloth slow. I will usually start with a small spot on the lingual and lightly advance until I see a cement line. At that point I will start searching for the teflon. I would be very interested to know what others are doing. Ive recently heard of green teflon being used as a means…
1 -
Unfortunately, no magic to this procedure. It definitely helps to go slow and I use a flat tapered diamond but or a diamond chamfer bur. Definitely, looking at multiple X-rays to have your best access location is helpful but it just takes that along with patience. Also, if it’s not your crown you may not be fortunate to find teflon, it may just…
1 - View more comments
-
- Load More
