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Implants placed through Mandibular lingual cortex

Posted by Perry Kreway at Tue, Oct 22, 2013 2:12 AM

Last Reply by Bernard Jin

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Hi all:  I have had a couple of these cases come through my office in the last couple weeks and would like some feedback as to how to proceed.  This one is a 65 yr old male who had a total of 10 implants placed in max and mand approximately 2 yrs ago by an Oral Surgeon in edmonton.  The image I have for you is a scanned print of one of the lower 4 implants.  They are all placed in a similar manner in which they are through ...


no attached gingiva

Posted by Harry Shangha at Thu, Sep 26, 2013 8:36 PM

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Hi,   76 year old female.  Did a sinus augmentation and lateral bone graft September 2011 and placed the two implants april 2012.  As you can see from the picture I took today there is no attached gingivae on the 15.  What can I do here? Is it even possible to soft tissue graft?   Harry   ...


CTG question

Posted by Sunny Cha at Wed, Sep 25, 2013 7:54 PM

Last Reply by Sunny Cha

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Another question on CTG.   29 years old asian female patient. No medical problem.   55 retained decidious tooth with congenitally missing 15. Tooth is asymptomatic and no mobility present. Tissue looks healthy around it. It has an existing PFM that was done many years ago.   Now patient notices buccal recession on mesial root and wants a new crown to fix it. There is a bit of recession on distal root as well.   Inst...


Thread Exposure

Posted by Sunny Cha at Wed, Sep 25, 2013 3:09 PM

Last Reply by Sunny Cha

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Hello again,   42 years old patient. No med hx. Initially wanted re-RCT on 46. I went in, but something just did not feel right, so took a CT and the lesion was very large. Also there was a buccal fistula. Explained to the patient I cannot guarantee the success of RCT. Patient was ok to extract and do an implant instead.   So 46 was simple exoed and I placed an immediate implant. It was a large diameter implant with apex 4.5 and to...


Sinus Lifting question

Posted by Sunny Cha at Tue, Sep 17, 2013 5:31 PM

Last Reply by Sunny Cha

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Hi again,   66 years old male asian patient. no diabetes, on water pill for hypertension, no other Mhx.   Extracted 16 and 26 5 months ago at a different office. Left side healed well but right side looks like there is an area of bone defect that hasn't healed properly. He wants sinus lifting and an implant on both sides. For 16 exo site, properly healed area, bone is about 8-9mm in height. But more mesial where defect is, it is onl...


Anterior case

Posted by Sunny Cha at Fri, Sep 13, 2013 6:01 PM

Last Reply by Mark Kwon

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Hello,   74 years old caucasian male patient with good general health. No diabetes or on any blood thinner.   History of loose anterior 12-x-21 bridge. Did first one in calagary 4 years ago. since then it came out twice and this is third time. Patient was referred to an endodontist to do endo on 21 and put a metal post in before trying a new bridge by his previous dentist but wants a second opinion. 21 was referred to a specialist b...


Tissue Healing

Posted by Sunny Cha at Wed, Sep 11, 2013 4:46 PM

Last Reply by Sunny Cha

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Hello again,   17 year old male asian patient. No medical concerns. Congenitally missing 35 and 45. Left side had broken down 75 with decay and right side was already extracted when I saw him initially. He had a flipper to maintain space. Patient has mild crowding but his parents are not interested in ortho.   I placed implants on both sides. His parents understands and was informed already previously by other dentist that 17 years ...


PRF supplies

Posted by Sean Bicknell at Thu, Sep 5, 2013 3:43 AM

Last Reply by Mark Kwon

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Hello everyone!   My PRF kit needs replenishing, I have a few quick questions:     1) any suggestions as to where to order more butterfly needles and vacuum tubes.  I ordered my kit from france originally.  Any closer suppliers that can provide the tubes that will work well with the centrifuge?     2)  would you still use vacuum tubes if the expiry date had passed?    Thanks   Sean...


exposed implant

Posted by Sunny Cha at Sat, Aug 31, 2013 9:07 PM

Last Reply by Sunny Cha

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Hello again,   40 Years old female asian patient with any medical problem.   Did upper and lower implants in asia slightly over a year ago. 45 tooth initally had RCT plus crown but recurrent carries and unsuccessful RCT caused exo eventually.   Noticed buccal thred exposure with minimal attached gingiva. Patient is concerned about it too.   Implant shows no mobility or pain. Tissue does not look inflamed although ...