Last Reply by Ho-Young Chung
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M58 wants more teeth to chew with, starting with site #16. less than 2mm of bone here. best way to gain most bone here? lateral vs incremental crestal; ie, crestal to gain about 5mm and then after 6 months osteotomy and another crestal? i have never done a 'serial crestal' before, but i am curious if this could be done; pro/con vs just doing lateral and stuffing as much bone as possible at once. thoughts? ...
Last Reply by Bernard Jin
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Hi I am concerned about the proximity of the large hollow marrow space to where I want to place my implant. How do you recommend handling this situation? Prep the site and place a bone allograft into hollow space before seating the implant? How accessible is that going to be? Leave alone ? Don't know what type bone this will be...D3? The molar was removed with periotomes preserving the bone April 2, 2015 No grafting done as all walls...
Last Reply by Bernard Jin
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48 yrs old (male) Chief Complaint: loose upper anterior bridge, wants to replace with implants Pertinent Medical Status: Healthy ASA Class I. Pertinent Dental Status: Missing 11 for years, cantiliver bridge 11P-21-22, recurrent caries to 21, and loose bridge 11P-21-22. CBCT view for incisal canal: No significant pathophysiological changes. Vital tooth 12 and 22 Bone grafting to Buccal of 11, 21 on June 16, 2015, and temporar...
Last Reply by Ho-Young Chung
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Needed your advice about the management of this case (Pan attached) Patient wants fixed teeth.Has history of aggressive periodontitis and is a controlled diabetic.Tentative plan:1. Remove all current implants and graft (block+particulate allo+prf) or allo +Prf and titanium mesh.(please advice your thoughts)2. After 6 months , treatment plan for implant supported dentures....
Last Reply by Bernard Jin
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hello 2 questions: 1- there appears to be sufficient amount of bone for a 4.5X13 HIII implant. in sites of 36/37/46 However, my concern is the M-D distance between the natural teeth. the space between the implants and teeth are much larger than the recommeded 3-4mm. I worry that is going to effect the emergence profile of the crowns. Can the spacing between implants be pushed somewhat without creating the "lolly pop" appea...
Last Reply by Bernard Jin
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My patient is a deep sea diver as an enthusiast and has concerns regarding implants and the pressure that is excerted on his body when he does dive. Is there any contraindictions with such a hobby? I am assuming that once the integration is complete it should not be an issue by i wanted to run that by you guys. The implants will be 25,26 with plentry of bone. I have attached some photos. Thanks...
Last Reply by Madeson Basie
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I posted this case previously - #25. One week ago , I performed atraumatic extraction, curetted and debrided the socket thoroughly, packed in PRF membrane , chopped up, mixed with Osteo-Oss. Used Place coronal membran - (Mucograft Seal , Geistlich, a porcine bilayer collagen) One week later , no signs of grafted tissue, Finding is consistent with oseitis / dry socket . But no pain , no odor , only slight bad taste reportd by patient. &n...
Last Reply by Mark Kwon
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Hi doctors This patient presents with failing crowns on 11 and 21 due to severe recurrent decay. Prognosis of teeth are hopeless. 11 has a very large apical lesion that extends all the way to the mesial side of 12 root. 21 apex is right under the nasal sinus floor. From crest of bone to root apex is approximately measured at 10mm What would be the best way to approach this case? I was thinking of 1. at...
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