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Upper all on 6

Posted by Chad Denomme at Wed, Mar 18, 2020 5:01 PM

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I am planning on clearing the upper dentition and placing 4 implants (laterals and angled 4's). We will load immediately with CUD on locators on the 4 implants so long as they torque out.  The Final prosthesis will be a fixed hybrid. The alveloplasty will be 5mm across the anterior and blend into the posterior. The patients opposing dentition is natural.My concern is the ability to graft the sinuses with the direct lateral approach.I am plac...


Split ridge or not.

Posted by Michael Unti at Thu, Jan 16, 2020 3:12 PM

Last Reply by Michael Unti

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I’m planning full arch fixed or implant retained overdenture  the ridges are plenty long but not wide   Do you suggest split the ridge or buccal grafting .  The 22 space looks good but all else , especially upper right quad is very narrow .  The 13 ,12 , and 23 area have  dehiscence but some width.  ...


Implant 53 retained primary.

Posted by Chad Denomme at Thu, Oct 31, 2019 11:32 AM

Last Reply by Chad Denomme

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I am removing the 53 retained primary and as you can see the ridge is pretty tight.I want to placed a 4.0 Hiossen ETIII as I feel 3.5 may not be strong enough.The videos shows sections from distal to mesial of the surgical area. I will be doing guided surgery.Is the best way to approach this a ridge split? If yes can you provide details.ORDO i drill 2.0, 2.3 to length and attempt placement of 4.0 and graft the buccal afterwards.ThanksChad...


15 failed implant

Posted by Keyhan Alavian at Fri, Sep 7, 2018 5:08 PM

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Hello everyone,I have a patient that has presented with a failed implant. This implant was placed by another dentist three years ago. It started wobbling and eventually came out on its own. Pt. does not want to go back to the original dentist and wants me to fix it. The 14 implant was placed by the same dentist prior to 15 and is doing fine.So:Causes of the failure: I believe its most likely a combination of a short implant and occlusal trauma. H...


Implant identificaiton

Posted by Anand Choubal at Wed, Aug 22, 2018 8:35 AM

Last Reply by Ho-Young Chung

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Good morning everyone, these implants were done in the mid to late 80s.  The surgeon that placed them has retired and there is no record of the size or brand.Can anyone steer me in the right direction?As always, I appreciate your commentsRegards,Anand...


Long-term edentulous site

Posted by Anand Choubal at Mon, Aug 20, 2018 9:53 AM

Last Reply by Anand Choubal

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Failed bridge in Q4 and patient wants implants.47 will be extracted, grafted and allowed to heal.  CBCT revealed 2 cystic-like lesions in the 46 region.  The cross sections look somewhat innocent to me but the HU are all in the minus for these areas.Should I be going after these lesions at the time of 47 extraction and grafting them as well?Appreciate your commentsAnand...


Extraction of Failed Bridge and GBR

Posted by Anand Choubal at Wed, May 23, 2018 6:43 AM

Last Reply by Ho-Young Chung

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Good Morning everyone,Teeth 45 & 47 will be extracted.  I am planning to do GBR  sticky bone once the teeth and infection has been removed.I would like to grow a decent tumour in this site and was wondering if anyone could make a few suggestions to ensure success.  I have done a few dozen of these with a surederm membrane sandwiched between L-PRF membranes housing the graft.  Some have turned out great while others have be...


Huge Incisive Canal, no room for implant...graft the canal?

Posted by Jason Chang at Tue, May 15, 2018 5:35 PM

Last Reply by Jason Chang

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This patient has a huge incisive canal who lost her two front teeth in an accident.  This case is beyond my skill level, but is there anyone out there who would graft the incisive canal?  She is currently looking doing a bridge, but was interested in 2nd opinions on implants. The canines and laterals have been prepped for the bridge. Thanks for any opinions....


Guided planning

Posted by Chad Denomme at Wed, Apr 18, 2018 6:39 PM

Last Reply by Ho-Young Chung

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I am just after your thoughts on implant diameters and positioning particularly then depth for the following 4 implants. I have attached 2 PAN images.Image 1 tooth #34 bridge abutment: Planned for 4.5 x10.  Would it be more idea to go 4.0x10 and move a bit more towards the crest while respecting buccal bone width at the crest. Again I like the plan but am wondering if it is too deep.Image 2 tooth #36 bridge abutment:  Planned for a 5x7....