Implant Ninja | Mic | Activity

Mic posted a new activity comment

Sat, 14 Dec 2024 19:46:15 -0800

Overall I think you’re good. the patient will likely heal uneventfully. 6 months from now we’ll likely see the implant well integrated and bone to at least the apex. it’s a wait and see from here. your implant is 2mm past the floor and even w/o a graft the sinus will heal over the implant with no problem.

I see some sinus thickening based off…

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 […]

Mic posted a new activity comment

Wed, 04 Dec 2024 04:23:27 -0800

@ivan-chicchon @jostanger what’s good fellow perio! 🙌🏼

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 […]

Mic posted a new activity comment

Wed, 04 Dec 2024 04:19:23 -0800

@rroque29 happy to help!

I’m usually going CCW, 800RPM, with irrigation. 2mm drill to the floor. You know when you hit the floor cuz it will suddenly feel very dense. that’s the cortical bone of the floor. In the posterior, I’m usually placing a 4.6mm or 5.2 mm implant. so I’ll expand the osteotomy 3.0mm, 4.0mm, and maybe 4.5mm. As I’m trying…

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 […]

Mic posted a new activity comment

Mon, 02 Dec 2024 20:37:26 -0800

@ivan-chicchon thanks for sharing ! maaaan my sleep is complete TRASH! and exercise is non existent.

I really gotta carve out time for exercise.

when do you do yours? first thing in the morning before the chaos of the day starts?

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 […]

Mic posted a new activity comment

Mon, 02 Dec 2024 19:32:08 -0800

@ivan-chicchon

In reply to - Mic posted an update Hello everyone,

I have a patient with a fractured Straumann tissue-level implant at site #31. The coronal portion of the implant has fractured off circumferentially, leaving only the […]

Mic posted a new activity comment

Mon, 02 Dec 2024 19:31:23 -0800

Heres some additional imaging and info. #30 is also straumann tissue level crown that needs replacing. a healing abutment was placed on #31. you can see a void where the platform broke off. the abutment is only secured by the end of the abutment screw.

our initial plan is to make new crowns #31/30 and splint. hopefully a custom cast abutment…

Mic posted an update: When MLB players and athletes hit a slump, it's […]

Mon, 02 Dec 2024 19:03:52 -0800

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 right, surgeries aren’t going as smoothly as you’d like, or you’re noticing a streak of less-than-ideal outcomes. How do you reset when that happens? Does anyone…

Mic posted a new activity comment

Mon, 02 Dec 2024 18:54:42 -0800

@ivan-chicchon Nice! would love to hear the feedback on that.

one thing I dont like about the DESS temp abutment is that that the cervical portion of the abutment (right by the implant abutment junction) is so wide, I have to shave off bone just to get it to seat all the way down. are there abutments out there that are more gradual with the…

In reply to - Ryan posted an update CUSTOM HEALING ABUTMENTS

Hey folks! Hope everyone had a wonderful thanksgiving!

I went down a custom healing abutment rabbit hole yesterday and wound up with a few lingering questions. […]

Mic posted a new activity comment

Sun, 01 Dec 2024 20:19:21 -0800

@ivan-chicchon Hi! I can’t say for certain if you perforated the sinus or not (the PA’s aren’t clear to me), but implants can be placed up to 2 mm beyond the sinus floor, and the Schneiderian membrane typically heals well around the implant apex. Since you’re at 2 mm, you’re within range and I think your patient will heal uneventfully.
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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 […]

Mic posted a new activity comment

Sat, 30 Nov 2024 20:17:53 -0800

@ivan-chicchon I am JUST STARTING my journey with custom abutments. my first case involved taking a Dess Temp abutment and adding composite and chopping off the coronal portion.

it’s definitely an area I want to level up and provide my restorative doctors with a much better tissue and emergence profile.

In reply to - Ryan posted an update CUSTOM HEALING ABUTMENTS

Hey folks! Hope everyone had a wonderful thanksgiving!

I went down a custom healing abutment rabbit hole yesterday and wound up with a few lingering questions. […]

Mic posted a new activity comment

Tue, 26 Nov 2024 10:50:13 -0800

let me also clarify the PA. that is a Closed tray impression coping screwed on to the fractured implant.

Mic posted an update: Hello everyone,I have a patient with a fractured […]

Tue, 26 Nov 2024 10:31:09 -0800

Hello everyone,

I have a patient with a fractured Straumann tissue-level implant at site #31. The coronal portion of the implant has fractured off circumferentially, leaving only the bone-level portion intact. This implant previously supported a gold crown on a one-piece abutment. Additionally, the tissue-level implant at site #30 has a worn… Read more