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Quad 3 Posterior Narrow ridge...?

Posted by Sokhi Sandhu at Tue, Sep 19, 2017 12:35 PM

Last Reply by Mark Kwon

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951 Views | 3 Replies

Hello Everyone in Bites land!I have a patient who would like to proceed with implant(s) in posterior quad 3.  The CBCT shows a very narrow ridge that will ultimately leave her with either;1) exposed buccal threads of a mini Hiossen implant and need to use Titanium mesh to add buccal bone.  Due to it being in the posterior, I would stress need to add 2 implants and to double abutt them...or2) split the ridge?The ridge measures about 3.7 ...

Location-- revisited

Posted by Madeson Basie at Fri, Jun 30, 2017 2:28 PM

Last Reply by Ho-Young Chung

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847 Views | 2 Replies

Hi :  I have made some modifications re location and size . Note : the angulation of natural tooth at #25 . Matching this  for implant at 24 creates less than ideal bone support , but occlusal access hole and prosthesis may be better.I have proposal for 4.5 mm and a 4.0 mmx 10 , with different angulation, which changes access hole location. If I choose more parallel bone support, do I need to use angle abutment , or cement retained crow...

Lower full arch - guided surgy-cantilever

Posted by Madeson Basie at Thu, Jun 29, 2017 6:06 PM

Last Reply by Mark Kwon

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991 Views | 2 Replies

Case is full lower arch . 6 implant fixtures are now in place. Patient is 74 yr old female , on blood pressure medications.  She  now has a temporary metal reinforced prosthesis.   Note the cantilever segment in acrylic has cracked indicating stress level is significant . My concern is the large cantilever at the lower left side.  This was created as a result of implant fixture  failure at #36 region .  Bes...

Location-location-location (24)

Posted by Madeson Basie at Thu, Jun 29, 2017 9:11 AM

Last Reply by Mark Kwon

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821 Views | 1 Replies

 Location - #24 - in a healthy 35 yr old male . Tooth lost due to root fracture. . Delayed bone grafting was performed in the site previously. Location -- I am referring to the preferred angulation of the  fixture. I am enclosing 2 proposals for fixture positioning. And I am considering 2 different sizes -- 5x10  or 5 x8.5 .1. If I follow angulation of roots of natural teeth, a screw retained  crown  is  more achieva...


Posted by Madeson Basie at Thu, Jun 29, 2017 8:40 AM

Last Reply by Madeson Basie

0 Users Rated
772 Views | 1 Replies

False alarm . See other post . ...

36 implant

Posted by Keyhan Alavian at Fri, Jun 2, 2017 9:48 AM

Last Reply by Keyhan Alavian

2 Users Rated
1281 Views | 8 Replies

Hi all, patient wants 36 implant. There is so much awesome dense bone, but it's a bit lingual. I would love to place the implant a little more buccal, but then I have to deal with that MB defect. Should I just place the implant more lingual and not complicate things by grafting the buccal and such? Regardskeyhan...


Posted by Mike Budrewicz at Wed, May 31, 2017 7:06 AM

Last Reply by Mark Kwon

2 Users Rated
1244 Views | 4 Replies

Hello,I know this is an outdated PANX, as implant #22 has been removed, but I am looking for some treatment options here for this pt before I move further. He has not had posterior teeth in 15 years and functions well. He is a severe gagger and can not tolerate impressions/materials in the posterior at all. He would like to restore the max anterior. He eats like a rabbit and it works for him.I have discussed need for posterior replacement, either...

26 Crestal or lateral approach

Posted by Keyhan Alavian at Mon, May 15, 2017 3:22 PM

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949 Views | 0 Replies

Hello Drs,I have a healthy 80 yro lady with a failed bridge. the 24 has a vertical root fracture with hopeless prognosis.treatment option:1- five unit bridge from 23-262- partial (Pt. does not want that!)3- implant retained bridge (non-immediate)In regards to option 3:I am thinking section bridge/ exo 24 and graft/prf for 3-4 month before placing implants.In my treatment plan I have tilted the the 24 and 26 implants to engage more bone. There is ...

sinus lift or not. 16

Posted by Keyhan Alavian at Sat, Apr 15, 2017 10:47 AM

Last Reply by Mark Kwon

1 Users Rated
1263 Views | 3 Replies

HelloI have here a 60yo healthy female. with good OH. She has a DB root fracture on the 16 bridge abutment with a deep localized pocket. My main concern is continuous infection leading to possible failure of the the existing 17 implant.Treatment options:1- split bridge at 15/14 junction. exo 16. leave empty or removable denture. (Pt, does not like that)2- Hemisection of the DB root and GBR the defect, and hope we don't have a food trap. (sub...