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  • Two implants were placed. One immediate implant and one implant adjacent on a healed site along with simultaneous ridge augmentation. Implants were covered and primarily closure achieved using PTFE sutures.

    This was how the patient presented three weeks post operative for check up and suture removal. What would you do and what are your…

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    Wow
    vikas, Dan and 4 others
    9 Comments
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    • tell me more, tell me more?

      Did you suture it back again? very interested on the outcome.

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    • Irrigate the site to remove any debri, advise patient to maintain the site as clean as possible, put patient on antibiotic (Augmentin) and mouthwash (Chlorhexidine), allow the site to heal with secondaty intention, if we try to suture this again it is going to be messy as it is already inflammed. Follow patient for a post op every week. I think…

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  • Profile photo of Jedediah

    Jedediah replied to the discussion Second stage in the forum Complications a year ago

    a year ago

    Reply to Second stage

    If the implant had sufficient stability for a healing above men which is typically 20 Newton centimeters and above, and an IQ of 60 or above then, either the healing above it was not the correct platform, or sometimes doctors can put it in the wrong path of insertion, and it doesn’t seem to thread. Most likely just a simple common mistake of one of those.

  • Reply to Access Screw locations?

    It is always a bit tedious and a pain but typically using various X-rays and especially a pano can give you areas to try to access slowing until you find all the screws, slow and patience is keep to not over prep into the screws

    vikas and Erick
  • If this happened to you during surgery, what would you do? Please put your comment below.👇👇👇

    Wow
    Ivan, Cayleen and Erick
    14 Comments
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    • Attempt to graft the fenestration and hope for the best. Also make sure to warn the patient of possible future complications.

      Love
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    • Once I get a few more comments, I’ll update this post with an x-ray and later explain what we did

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    • This happened a while back, and I figured some of you might like to know how you would address it. This healing abutment that need to be removed was stripped. And some of these cases you can just clean out the inside of the screw access, because sometimes food and debris are in it and once that’s done, you can remove it with a prosthetic torque…

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      Love
      Cayleen and Ivan
      2 Comments
      • It’s good to have one of those Home Depot kits in a drawer at the office right!?

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    • OK Dojo Peeps. Some of you wanted to see some suturing techniques for socket preservations that we went over during the last study club meeting so here you go. Lots of different ways that you can do it. A lot of it just comes down to preference. This one is an inverted figure 8 with multiple passes. I find this to be a very useful…

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      Love
      Erick and Ivan
      3 Comments
      • I have a question about this Jed, when would you suture and when would you just leave it to heal up on it’s own?

        I know there are many ways to skin a cat here. I’d love to hear your thoughts.

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      • Here is what this site looked like 2 weeks post op…

      • Reply to treatment planning #19 with surgical guide

        That is a ton of great bone and a great case. Typically you can get away with a minimum of 5 to 7 mm with a screw routine crown and be fine. However, in the limited information that I saw on your case, there’s a couple things that you can do to help improve and give you more inter-occlusal space. One, as you can submerge your implant deeper in…

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        Erick
      • Hey everyone! Excited to get to know you all! I’m looking forward to our Study Club session later this month. You have had some amazing doctors and great content in the past and I’ll do my best to help to add to it 🙂 Feel free to reach out if there is anything I can do to help!

        Broneil, Cayleen and 2 others
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