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  • Hoping for some feedback here as I am fairly new in my implant journey and have had a couple failures lately that I cannot understand.

    Placed this implant a few weeks ago on healthy patient site #30. Surgery went very smooth, with sequential osteotomies and implant torquing out at 40N/cm. Patient comes back three weeks later and implant…

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    • EDIT: Patient returned today to have implant removed. Removal went fine. But the bigger point is that we found out the issue in this case. Unknown to me, patient is a heavy bruxer had been wearing an orthodontic retainer that was applying significant vertical and lateral force to the implant healing cap. Obviously, this lateral force cause…

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    • I am a general dentist who is fairly new in my implant journey. The previous owner placed quite a few implants and is adamant that a prophylactic antibiotic (often a course of amoxicillin starting the day before the procedure) is imperative and necessary.

      I have found literature on both sides of this issue. I am curious to hear others opinions…

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      Khurrum, implantninja and 2 others
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      • I usually do a loading dose and then a week of antibiotic. I also like to give either 8mg of dexamethasone (If not a diabetic) right before the appointment. In larger implant cases I will give loading dose of antibiotic day before (continue for week afterwards) and medrol dose pack (non-diabetics) the day before. It may be overkill but I think…

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      • Hi Tanner,
        I’m at a similar spot as you are so I can’t speak with years of personal experience. I decided for the time being to follow this protocol from Misch’s Contemporary Implant Dentistry. At the end of the day for liability it gives me something to turn to in case I need to justify my decision making.

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    • Just received my box of implant ninja books at the practice! Excited to dig into some holiday reading. 😅