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4 lower immediate implants for locators

Posted by Madeson Basie at Thu, Jan 12, 2017 9:15 PM

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Here is an interesting and challenging case of 50 yr old female , with CFS and   other health issues . Bridge / crowns are failing ; root canals are failing ; caries leading to PA lesions . Plan is to remove lowers . Place implant fixtures in 33 site  ; 36- mesial aspect site ; 43 and 46 site s. Challenge is narrow mandibular ridges , an lack of buccal  bone . I have a detailed plan , but am sharing initial impressio...

treatment planning

Posted by Harjinder Kang at Mon, Dec 5, 2016 9:30 PM

Last Reply by Mark Kwon

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Dear Bites instructors,   Patient is 62 years old female and healthy.   She had failed cantilever bridge. Patient had congenitally missing 24. I did extractions and bone grafting with PRF 6 months ago. The scan is recent and I found out that I don't have enough hight in molar area, Also I noticed I didn't gain much bone width in 24 area although I perforated the buccal bone and packed enough bone with non resorbable membrane at the ...

Extreme max anterior bone loss under complete dentures

Posted by Sean Bicknell at Sat, Nov 5, 2016 1:06 PM

Last Reply by Sean Bicknell

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794 Views | 6 Replies

Hi Guys   i had an interesting consultation with a 65 year old healthy female, has been wearing complete dentures since she was 16!  She is fed up with her loose dentures and would like a fixed solution, she's really struggling, losing lots of weight.    We took a CT scan to evaluate and she has literally no bone left across the maxilla. Unfortunately i don't have photos to post at the moment, I'll have to load some CT spl...

Please explain the bone loss

Posted by Mike Zhou at Fri, Oct 28, 2016 1:16 AM

Last Reply by Mark Kwon

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Hello faculty   I saw this patient today because she felt the implant crown was loose. Indeed the screw has come loose. I removed the crown and rechecked ISQ (80/81). I retighten the crown back on and torqued to 30N/cm2. When I took the PA I was dismayed to see bone loss on both the mesial and distal of the fixture. The crown is about 17 months old.   I attached the following radiographs: 1. Initial PA 2. Initial crown (May 20...

Surigcal Guide

Posted by Chad Denomme at Tue, Oct 25, 2016 11:35 PM

Last Reply by Mark Kwon

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786 Views | 1 Replies

Dr. Kwon, When you make a surgical guide for single tooth implants, it seems from you lectures that there is a wax up done and then a slot through the center of the matrix centered through the tooth to accomodate 1.5mm twist drill. Is this correct? Can you comment on type of material or instructions to lab for fabrication of pilot guide stent. Thanks Chad Denomme...

root tip or supernumary in 28 area?

Posted by Terry Grover at Mon, Oct 24, 2016 2:43 PM

Last Reply by Ho-Young Chung

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812 Views | 3 Replies

F66 interested in implants 24,25,26 area. sinus lift planned, but what about the root in the 28 area? appears to be in the sinus with membrane around it. she does not recall traumatic extraction in the past, and has no current symptoms in the area.  thoughts?  ...

35 36 tilt the implant or graft?

Posted by Keyhan Alavian at Tue, Sep 13, 2016 3:34 PM

Last Reply by Ho-Young Chung

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Hello   I have a case where pt is looking for a 35 36 implant option. 36 was extracted 3 month ago. CBCT was taken after 3 month. 36 was socket grafted with prf/allograft/collagen membrane. 3 was extraced years ago.     I believe there is insufficient bone to place 35 and 36 in ideal position.   Options 1: 35 remove ~3mm of bone to creat a 5.5-6mm platform. Place 3.5X8.5 implant in a 15degree angle.  36 place ...

Bone graft healing

Posted by Keyhan Alavian at Tue, Sep 13, 2016 2:04 PM

Last Reply by Ho-Young Chung

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780 Views | 1 Replies

Hello   I did an extraction with allograft and PRF and collagen membrane in june 2016. (post op exo attached) I took the CT scan 3 month later Sep 2016.   I am not sure if this patient is ready for an implant yet. the graft area does not seem to be as dense as the surounding bone (270 vs 700+). There is also the dark margins around the socket which I believe is replacement resorption as a part of the healing process. IS it too ea...

Removal of failing implant

Posted by Chad Denomme at Wed, Sep 7, 2016 10:15 PM

Last Reply by Chad Denomme

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Dr. Kwon, Can you go over the implant removal protocol for nobel replace select  5.0 or wide platform. I made a few notes at the course and have a slide showing some numbers. Seeing this is my first removal can you walk me through the use of the hiossen fixture removal kit to have the best chance at getting this implant out. If this does not work would you trephinate a bit?   Thanks Chad Denomme...