Good day everyone, I have just started to perform sinus augmentation and still new in this journey. Currently, I am using the conventional way with slow handpiece and round carbide bur (for dentoalveolar impactedd tooth removal) to cut and create the window. I am also aware of the LAS kit from osstem and DASK kit from dentium. May I know does…

Read more

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…

Read more

Thank you Joelle and Apolinar for the valuable input !

Hello Ivan, thank you for your reassurance. Here are some of the post operative one week photos. Good thing is patient has a low lip line. And yes, I could not relly see any exposure and I did place some bone graft with straumann xenoflex at the apical region. Have a great weekend !

Good day everyone ! Recently I have placed an implant in the 23 region without using a guide. Patient has a prominent buccal exostosis and low smile line. However the bone apical to the bony exostosis is narrow. I made a mistake by focusing too much on getting the ideal screw channel axis and placed the implant too lingually.

While the…

Read more

Good morning everyone, does anyone have good experience with placing narrow diamter implant (3.3mm) at the maxillary canine or even premolar region for single tooth replacement? I have come across a few articles on Pubmed that showed good clinical outcome. Feel free to share your experience here. Thank you !

Good morning everyone, I would like to get your opinion on the following treatment options for this case. This patient has missing 47, 46 and a retained root at 45. Interocclusal space is about 5mm ( so i cannot perform vertical bone augmentation), bone height is limited, about 10mm ( close proximity to ID canal) and bone width is not…

Read more

Good day to everyone, recently a gentleman came to my practice, requesting for implants to replace his upper non retentive complete denture. After taking the CBCT, i noticed that the remaining alveolar bone width and height are just sufficient for the all on 4 concept based on literature (5mm width and 10mm height). My surgical plan is as follows…

Read more

Good day to all, I am having some issues with this case which was performed without a surgical guide. The fixtures were placed too distally and lingually tilted. I would like to get your expert opinion on the design of the final crowns.

1) Would it be better to join the crowns together to dissipate the occlusal force ? since the screw…

Read more

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

Thank you for your reassurance !

Good day to all, I have another case in which I have postioned the implant too palatally because i was too focused on achieveing the maximum buccal bone thickness. Took a post operative CBCT and realised that about 3mm of implant is out of the cortical bone at the palatal side. Implant dimension is 3.3x12mm. Raised the palatal flap and…

Read more

Thank you Ivan and Jedediah for your reply. I have proceeded with impression scan. This is the photo of the implant. Implant was still firm and asymptomatic upon removal of healing abutment.

Good day everyone, I have just started my implant journey. I have a case in which during impression stage, I have noted some metal showing through the soft tissue and I think buccal bone resorption must have taken place. Buccal bone width and height were satisfactory during second stage. Although the implant is still firm and stable, should…

Read more