Study Club Member Khurrum
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Khurrum posted an update 11 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.
William, Ivan and Jedediah2 Comments-
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
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I’d say any of those options except 6 weeks. PTFE stays super clean, I really like suturing with that!
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Khurrum posted an update a year 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.
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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…
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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…
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Khurrum replied to the discussion Angle screw drivers in the forum Implant Tx Planning a year ago
I do not believe so, if using authentic parts and screws, I still believe each manufacturer has a unique head on the driver.
Erick, Sowbarnika and Ivan -
Khurrum posted an update a year ago
When placing an immediate implant , in study club today and the dental lit states it is best to place bonegraft with a provisional. My question is does it make a difference in placing the implant first and than the bone graft? I find it easier to leave my last implant drill, place the allograft and than seat the implant. Does the dental…
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Either before or after is fine, most of it just comes down to preference. As long as the gap is grafted, that is what is the most Important. If you do place the bone after often times I place a little bit at a time and then I use something like a Perio probe to gently push the bone graft material as apical as possible so I get a good…
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I really like to do it this way also, I leave my last drill in the prep and pack bone around it. Then the implant compresses everything together. Although its tricky when bone ends up accidentally falling into the prep!
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