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bone loss around implants

Posted by Mike Budrewicz at Sun, Apr 15, 2018 10:07 AM

Last Reply by Mark Kwon

1 Users Rated
915 Views | 1 Replies

Hello,I know bone loss around implants is a common complication and I am seeing more of it all the time.case 1) We placed a Nobel Active implant #16 in 2016. In Nov 2017 BW showed good bone level also. The pt has since moved but returned last week saying her implant crown has become loose. She had her new DDS tighten the screw 2 months ago but it loosened again. I took some xrays and see bone loss present, especially on the distal. The crown was ...

Max Ant TX plan

Posted by Mike Budrewicz at Mon, Apr 2, 2018 5:31 PM

Last Reply by Mark Kwon

0 Users Rated
1128 Views | 1 Replies

Hello,I posted the question about anterior placement (place in LI or CI position) on the Facebook group a few weeks back but here are some of the images from my planning.The pt had a trauma falling off a ladder. The teeth were fx through the roots and the B plate was damaged. I extracted the teeth and did some socket and B grafting and placed him in a socketed max temp RPD. I took a new CBCT and are planning case with OneGuide. My original plan w...

Max Ant TX plan

Posted by Mike Budrewicz at Mon, Apr 2, 2018 5:27 PM

Last Reply by Ho-Young Chung

1 Users Rated
857 Views | 2 Replies

Hello,I posted the question about anterior placement (place in LI or CI position) on the Facebook group a few weeks back but here are some of the images from my planning.The pt had a trauma falling off a ladder. The teeth were fx through the roots and the B plate was damaged. I extracted the teeth and did some socket and B grafting and placed him in a socketed max temp RPD. I took a new CBCT and are planning case with OneGuide. My original plan w...

26 slanted ridge.

Posted by Keyhan Alavian at Fri, Mar 23, 2018 5:23 PM

Last Reply by Ho-Young Chung

0 Users Rated
818 Views | 2 Replies

Dear Drs,I have a male, healthy patient looking for a 26 implant.The ridge is so slanted. If I was to place an implant either I have to countersink the mesial by 3mm or have 3 mm of threads exposed on the distal. Neither situation would be acceptable. Alternatively, I would have to GBR the heck out of the entire ridge in both vertical and horizontal dimention to build a level platform. How predictable is that?What would you do, where does it sit...

Incorporating existing implants into New treatment?

Posted by Sokhi Sandhu at Thu, Feb 1, 2018 7:38 AM

Last Reply by Mark Kwon

1 Users Rated
1041 Views | 1 Replies

Hi Everyone and Happy 2018!I've got a case where implant have been placed at the 12 (failing), 11, 21 and 26 in the Upper arch.The remaining teeth now have failed endo or decay under resto's and it has been decided that all existing natural dentition will be removed and Implant supported, full arch therapy will be done.1) Do I keep any of the old implants?  The 12 will be removed no mater what but the location of 11 is such that if I ne...

Which implant system is this?

Posted by Yohan Mun at Mon, Nov 27, 2017 5:56 PM

Last Reply by Mark Kwon

1 Users Rated
1171 Views | 3 Replies

I had a patient come into my office today. He has implants done in Syria in 2004. He said it was a lot cheaper and the quality of work was great.  Then he came to Canada. 2nd quarant implant bridge came off 2 times. (cement-retained). A Canadian dentist replaced a screw on 25 with a "new screw".The patient's bridge came loose again today. 21 and 23 were de-cemented, but 25 had screw-loosening. So I drilled from occlusal to access the screw h...

lower full overdenture

Posted by Keyhan Alavian at Fri, Oct 27, 2017 1:45 PM

Last Reply by Ho-Young Chung

0 Users Rated
996 Views | 1 Replies

Hello Drs, (specially Dr. HY Chung - "the Locator Jedi master")Patient is inquiring about denture stabilization solution for the lower full denture. She is happy with her upper full for now. Challenges:1- highly resorbed ridge2- minimal flabby keratinized tissue3- hardly any vestibule 4- Lingual/labial frenulum attachment right at the top of the ridgePatient does not want surgery to deepen the vestibule or any FGG. Assuming that we...

27 implant supported crown; need augmentation?

Posted by Terry Grover at Thu, Oct 19, 2017 10:51 AM

Last Reply by Bernard Jin

1 Users Rated
774 Views | 1 Replies

f66 wants 27 replaced, minimal bone present for implant supported crown, 4.3 x 10mm implant overlayed on image for reference.  augmentation required?  sinus and/or lateral? block?  or just place with no augmentation and leave for longer integration?...

Enough bone for locators?

Posted by Sokhi Sandhu at Mon, Sep 25, 2017 11:19 AM

Last Reply by Mark Kwon

2 Users Rated
806 Views | 3 Replies

Hello again everyone (especially Dr. Ho-Young Chung!),A patient would like to have locators for her existing denture...very resorbed mandible.  Doesn't look like she has much room but the implants shown are 4 x 8.5mm and slightly angled (about 5 degrees).Sorry no PAN, models, or intraoral pictures yet.Okay to proceed or is there too much compromising going on here?Cheers, Sokhi...


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