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Surgical Planning 2 implants

Posted by Chad Denomme at Tue, May 7, 2019 9:09 AM

Last Reply by Chad Denomme

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1177 Views | 3 Replies

I am planning to place 45,46 implants both 5x8.5.My question is regarding grafting as in the plan both implants will require grafting.Obviously would utilise sticky bone to cover threads.Due to proximity of mental nerve to the 45 and the location can someone comment here on there thoughts as far as flap design and release. I would think placing cover screws and trying to achieve primary closure is my goal.Chad...


Lateral Sinus

Posted by Chad Denomme at Fri, Feb 16, 2018 7:09 AM

Last Reply by Ho-Young Chung

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1121 Views | 2 Replies

This is in response to the latest reply regarding SA4 Lateral Sinus Augmenation.Due to the combination of issues I am trying to overcome here I think I will refer this case.If my GBR skills were at a higher level I think I would do GBR first and try to improve vertical and horizontal dimensions of the bone.Doing both at the same time would increase my chances of having complications that could effect eachother. I.E infection of GBR and issues wit...


Lateral Sinus Augmentation SA4

Posted by Chad Denomme at Thu, Feb 1, 2018 9:53 AM

Last Reply by Chad Denomme

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1572 Views | 4 Replies

Hi Everyone,I am planning this case for lateral sinus augmentation.The patient desires to replace her 25 and 26.Patient is discontinuing Plavix 3 days prior to surgery. OMC is patent.The patient does not have any history of sinusitis.All teeth in the 2nd quadrant are vital.Attached are photos, PA and recent PAN.I also attached a video file to show the sinus in cross section from anterior to posterior.My questions are:1. For any pre-op medications...


SA4 Sinus augmentation #26

Posted by Anand Choubal at Wed, Jan 24, 2018 7:16 AM

Last Reply by Mark Kwon

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1277 Views | 2 Replies

Good morning everyone,I have done a few of these cases but not many.Any advice on how to get the best out come?  There is about 2mm of bone and I am thinking augmentation first, allow to heal and then implant 6 month later.  Would be nice to engage an implant and use CASK but I don't think 2mm of bone is enough. CASK vs LASK?  Sticky bone or particulate?Appreciate any input you may have for meRegards,Anandp.s. #36 was extracte...


Infection

Posted by Chad Denomme at Fri, Dec 1, 2017 6:54 PM

Last Reply by Chad Denomme

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1400 Views | 5 Replies

I performed lateral sinus augmentation 9 months ago on the right side. No post op issues.A new CT was obtained before placing the implants 15 and 16 and there was plenty of bone.I placed 15 and 16 in September and did a 10 day post op check and removed sutures at this time. Everything looked great.The patient came into the office at the end of this week concerned with the swollen gums and she felt like the swelling was going up onto the cheek alt...


Lateral Sinus Augmentation

Posted by Chad Denomme at Fri, Oct 13, 2017 12:02 PM

Last Reply by Chad Denomme

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1180 Views | 4 Replies

Mark, This patient requires single tooth implant 16. I have 4-4.5 mm of vertical bone to the sinus.The OMC is patent. The patient suffers from season allergies only (sinusitis) but no history of chronic sinus infection.Can you review the radiographs attached, CT is very recent. If you require more xrays let me know.Can you discuss flap for this case. Also comment on simulatenous implant placement.The opacity in the sinus is likely fluid. Dur...


Mandibular tori removal for nSequence All on 4

Posted by Sokhi Sandhu at Mon, Sep 18, 2017 7:09 PM

Last Reply by Mark Kwon

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1611 Views | 5 Replies

Hi guys,I'm going to be doing my first All on 4 case so I decided to use nSequence to give me a bone reduction guide as well as an implant placement guide.  Turns out, the case also has some tori that the technician believes that is not removed will either make the guide very difficult to place as it's thickness will be encroaching on the tongue space.  I've never removed tori and only watched it being done.  Any suggestions for th...


bone loss around implant in 21 position

Posted by Terry Grover at Wed, Jun 14, 2017 5:50 PM

Last Reply by Ho-Young Chung

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1504 Views | 2 Replies

Hi - patient is M56, medically no issues. missing 21 for many years so not much natural bone left; planned short implant against my better judgement (poor crown/implant ratio).  the surgery went fine, it seemed to integrate ok, isq readings ok, but evidence of bone loss on CT taken recently, after about 4 months in place.  in retrospect; should i have done bone graft and ctg prior to placing?  i did buccally repositioned flap to ca...


"Spinner". Replace or wait .

Posted by Keyhan Alavian at Sun, Jun 4, 2017 11:52 AM

Last Reply by Ho-Young Chung

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3123 Views | 4 Replies

Helloi just placed an 4.0x11.5 on Saturday in the 15 position. Soft bone. Type 3/type 4. Not sure. Osteotomy underprepared to 3.5 but I still managed to get a spinner. I put a cover screw and closed the flap. But now, one day later, I wish I had put a 4.5x11.5 . At first I was worried about lack of buccal bone but now I think it can accommodate a 4.5. So what should I do. Just wait for 6 month, with the current implant or replace the implant wit...