Implant Ninja | Can | Favorites

William started the discussion Sinus lift or not in the forum Implant Tx Planning

Sun, 09 Feb 2025 00:15:22 -0800

Good day everyone, I have a case which may involve challenging sinus lifting at the area with sinus septum. LIterature has shown that the risk of perforating sinus lining is low as long as the drilling does not exceed 2mm over the sinus floor or wall.

In this case, should I avoid sinus lifting and engage the implant fixture right at the…

Can posted an update: Hi guys, I have a problem with an implant that I […]

Fri, 10 Jan 2025 17:54:53 -0800

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

Nick posted an update: Remember if you think you are having a bad day, think […]

Mon, 09 Dec 2024 23:14:51 -0800

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

Connor posted an update: Hi, can someone please help me identify this implant […]

Thu, 30 May 2024 03:05:12 -0700

Hi, can someone please help me identify this implant please? Patient reports that she had the implant placed around 2007. Thank you!

Paul replied to the discussion Placed first implant (#4) solo, 2 weeks later looks like it's failing in the forum Complications

Thu, 23 May 2024 18:55:44 -0700

Reply to Placed first implant (#4) solo, 2 weeks later looks like it's failing

An update 4 weeks post op:

The PA looks a lot better and clinically the implant seems to be taking. The pt is continuing with CHX rinses. Unfortunately primary/secondary closure did not seem to happen. I am wondering on how to continue with this case. What should I do with that excess buccal tissue? I was thinking of just removing the…

Jedediah posted an update: Many of you have asked what a mental formen and nerve […]

Mon, 20 May 2024 11:26:42 -0700

Many of you have asked what a mental formen and nerve looks like so here it is. This case was at one of our live surgical courses we teach where we performed some alveoplasty and identified the mental foramen prior to implant placement. You especially want to be aware of this and to identify on full arch cases and any possible anterior loop it…

Ulises: Hey guys, I have a restorative question. This patient […]

Wed, 15 May 2024 15:10:41 -0700

Hey guys, I have a restorative question. This patient is from Argentina and has a TQu4tro Tip implant, #12. (also manufactured in Argentina). When the patient presented to my practice 1 year ago it had a temporary crown which broke. I removed it an placed an Implant club healing abutment. I reached out to the implant manufacturer to ask…

Adis posted an update: I have a full arch fixed case mid-restorative phase […]

Fri, 10 May 2024 18:13:03 -0700

I have a full arch fixed case mid-restorative phase and would like feedback from the community and Drs. Ivan and Jed.

I did wax rims and VDO/bite last visit, now the lab sent back a U/L wax trying. The bite is off on the L which is fine and needs a reset, my question is on proper lip support vs. a very large anterior cantilever of the teeth…

Adis posted an update: I'm starting to plan this case for a full arch […]

Fri, 26 Apr 2024 21:33:19 -0700

I’m starting to plan this case for a full arch fixed mandibular implant prosthesis. She has great bone between the mental foramen once reduction is complete.

She has a severe deep bite and bites into the incisive papilla with the lower incisors. She usually postures forward and when you tell her to bite she’s on the incisal edges.

How do you…

Jedediah posted an update: Here is one of two ways in which we assess stability of […]

Fri, 26 Apr 2024 03:37:46 -0700

Here is one of two ways in which we assess stability of a dental implant at time of surgery. After we received our torque value, we place a smart peg in the implant to receive another value from our beacon device. This is what is called an ISQ value which stands for implant stability quotient. It essentially is measuring the bone to…

Jedediah posted an update: Anything seem out of place??? What would you do? How could […]

Thu, 18 Apr 2024 22:40:54 -0700

Anything seem out of place??? What would you do? How could a mistake like this be prevented in the future? Leave a comment below👇👇👇.

Join me for our monthly study club session when we talk about implant complications from A to Z this upcoming Monday!

Jedediah posted an update: Here’s a full arch we did for this patient with 6 implants […]

Fri, 05 Apr 2024 03:07:37 -0700

Here’s a full arch we did for this patient with 6 implants for a fixed hybrid. Bone reduction for these cases can be crucial especially depending on your approach and material selection. Good keratinized tissue around your multi unit abutments and/or locators are also key to long term success.

What are some key factors you focus on? What are…

Jedediah replied to the discussion Which approach for sinus lift would you do here in the forum Implant Tx Planning

Sat, 30 Mar 2024 18:02:40 -0700

Reply to Which approach for sinus lift would you do here

I would choose option #1. Typically if the RBH is 4mm or more I will do a Crestal sinus lift rather than a lateral sinus lift. Irregular anatomy may be easier to manipulate via the Crestal approach as well is this case.

John posted an update: Hi

Fri, 15 Mar 2024 19:24:47 -0700

Jedediah posted an update: Sub crestal placement of your implants are crucial, but […]

Fri, 15 Mar 2024 01:40:05 -0700

Sub crestal placement of your implants are crucial, but none more than your immediate implants. The thickness of your tissue and quality of tissue have a lot to do with your crestal bone maintenance and health over the life of your implant.

In this case, there were two premolars that were nonrestorable and were removed. The sites were cleaned…

William replied to the discussion Impression stage in the forum Complications

Tue, 12 Mar 2024 07:09:34 -0700

Reply to Impression stage

Thank you all for the helpful input. I will update on the latest progress.