Study Club Member Nick
Study Club Member
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Nick posted an update 3 months ago
3 months ago (edited)
Remember if you think you are having a bad day, think about this dentist. 😳
Can, Ivan and dtberat_dds2 Comments-
this one’s a doozy, not sure what I would do in this case !
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This is really crazy. Thankfully I’ve never had to deal with that myself but in general you have to open up a window and get it out of these. When it’s that high up that’s a bit crazier
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Nick replied to the discussion Tightened inplant which starts spinning in the forum Complications 4 months ago
Reply to Tightened inplant which starts spinning
Ok, so I always place my Neodent subcrestal. I was told that leaving the implant in the cortical layer of.bone will cause resorbption. Its important to drill deeper than you intend. It also depends on density. If I were placing a 1st molar in a healed site I would drill to 10 mm with 2.2 drill then drill to a 5.0 at 8mm then place a 5×8. I… Read more
Ivan, Ash and Nolan -
Ivan replied to the discussion Tightened inplant which starts spinning in the forum Complications 4 months ago
Reply to Tightened inplant which starts spinning
Hello Ash! Thank you for being part of the community. this is the perfect place to seek guidance on this.
The #1 reason I have found that this happens is because the implant hits the bottom of the prep. Especially in harder bone.
To avoid this, I always prep 1.5mm beyond the desired implant length. Can you tell us a bit more bout the case? Any…
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Nick posted an update 7 months ago
Can u take a wash impression under a PMMA if theres is not enough tissue contact or is it best to take a new master cast impression?
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It depends on the lab, but many times yes.
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Ivan replied to the discussion Implant bridge planning in the forum Implant Tx Planning a year ago
Reply to Implant bridge planning
I’m with @suredds, Old school wax ups are the best!
You can do a new school wax up just using blue sky bio. You can add a tooth within that software that somewhat matches the patient’s existing dentition. Do you know how to add teeth in the software?
8-9mm MD length sounds reasonable. It doesn’t have to be an exact textbook size, but it should…
Ingus and Jedediah -
Nick replied to the discussion Implant bridge planning in the forum Implant Tx Planning a year ago
Reply to Implant bridge planning
So a molar is about 8 mm mesial distal. I would use opposing dentition to help determine tooth size. If you wanna go old school you can capture models and wax up some teeth. ????
Erick, Jedediah and Abbas -
Nick replied to the discussion Access Screw locations? in the forum Implant Tx Planning a year ago
Reply to Access Screw locations?
Use air and really dry the acrylic but you can see the outline of the access on the occlusal of 5,6. I would block enough time and just go slow. Best part is since the prosthesis is plastic it’s easily repairable. U got this.
Erick and Jedediah -
Nick posted an update a year ago
Here’s what i got from the lab. It’s definitely a Monday. 😭
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It’s definitely unfortunate when they don’t even check back with their master cast to verify that before they ship it to the doctor🤦♂️🤦♂️🤷♂️
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Those days always make me wonder if I should switch labs, then I realize that it happens with them all sometimes. :/
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Nick posted an update a year ago
Saw a recent article from JPD about risk factors for peri-implantits bone loss. Most of the risk factors are obvious diabetes etc. The one factor I didn’t understand was about implant design. Having developed his own implant perhaps Ivan can shed some light on this.
https://www.thejpd.org/article/S0022-3913(23)00722-9/fulltext#secsect0040
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I’ll hunt down the full text, but the abstract is really funny as it indicates Nobel Biocare as a leading cause of Peri-implantitis 😆
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Nick posted an update a year ago
Whats are everyones thoughts. I saw an ad for a doc who will teach you the technique below. He claims he immediately loads his cases also. How would a pt care for this while healing.
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It looks like those little what they call many implants that some doctors place during the temporization. Period x-ray. They look like they’re actually located type of attachments and are removable and if that’s the case, then they would be able to remove them back-and-forth to keep them clean if that’s not the case and their screw retains and…
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