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    Nick posted an update a year ago

    a year ago

    Help with etiology of periimplantitis. I had a pt get implants placed and over the course of 6 months he has had one fail and come out and another has enough bone loss to also require replacement. My frustration is I dont know what I could have done differently.

    I will say the pt smokes and is allergic to penicillin. I think he also has a…

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    Erick and Cayleen
    3 Comments
    • How are the other implants doing? Do they look perfectly healthy in the patients mouth?

    • Profile photo of Nick

      Nick posted an update a year ago

      a year ago

      So update on the mysteryous implant from Tuesday dicussion. I removed the implant crown. I noted that i was able to remove it by hand so that leads me to believe it loosened up. I had to tap on the buccal of the restoration to break the morse taper seal. I noted a bubble of pus which i popped. I think may have been from food getting below the…

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      Ivan, Cayleen and Erick
      2 Comments
      • Do you have an x ray of the implant in question? Tell us more about it. Is there any bone loss?

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      Nick posted an update a year ago

      a year ago

      Anyone else heard of this new graft material called Tetranite.

      Its like a bone cement. They have videos cementing implants in extraction sockets and getting about 50Ncm. 😱

      • Miron talked about this at a course I took, apparently been in testing since 2017, and being used in medical ortho surgeries to glue bones together. Very promising… however, from his words, only a small amount should be used due to decreased blood flow in glue area which mineralizes.

        • Reminds me of the bone graft called Bond-Apetite. My buddy Nabeel Cajee swears by it. However, I haven’t dug into the literature of bone cements.

        • Reply to Infected #8, Pt wants implant

          What about this particular case lends itself to doing the VST type technique you mentioned. How is the graft kept stable to avoid movement? Periosteal sling suture? U have a case you can show?

        • Profile photo of Nick

          Nick posted an update a year ago

          a year ago (edited)

          What happen to my sinus graft? Just not packed enough? Is this radiolucent area tissue? Can I put an implant through this or is this a giant sequestrum?

          Cayleen and Erick
          1 Comment
          • Hey Nick, for you sinus graft did you have a membrane as a tent before placing the graft, what was the graft Alo&Xeno or Just Alo, how long ago did you place it?To me this looks like a very pneumatized sinus up to the canines, I wouldn’t go for it with regular sinus grafting technique, I cant tell excatly from the picture where it ends, This… Read more

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            Nick posted an update a year ago

            a year ago

            Was looking at requirements for ABOI and they want 670 ce hours. Ive learned most everything from textbooks and dont have time to take a maxicourse. Any suggestions as I start this journey?

            Ivan, Erick and Cherry
            3 Comments
            • I am figuring this out too. Where are you based?

              • View 1 reply
            • @suredds Geez, yes that is quite a bit of CE. What’s the limiting factor: time or money? If you’re looking at that quantity of CE you probably are looking to not spend a crazy amount of money on each one…

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              Nick posted an update a year ago

              a year ago

              Drill protocol for D4+ bone. Only pilot drill? This is pt second upper attempt bc I couldnt get primary stability. I’ll try to engage nasal floor to help but eekk. Second attempt tmrw, these full arch cases kicking my butt lately.

              Ivan, Ulises and 3 others
              4 Comments
            • Profile photo of Nick

              Nick posted an update a year ago

              a year ago

              What would u do? Pt was getting headaches bc she was hitting too hard on LL didnt tell me till she rolls in for suture removal and out implant comes. My current plan is replace and sleep it. Concerned about LR also, will flap and visualize possibly replace also.

              • Hey Nick, this has happened to me several times.

                1) I usually prepare to make a new provisional right away. Because you’re going to have an extended healing period now, you know your temp will go through more wear and tear.

                2) place a new implant in a new site on the left.

                3) deliver new temp attached to all implants and wait it out.

                No… Read more