Last Reply by Mark Kwon
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This patient presented with a long standing draining fistula in the 11 site. External resorption has taken place. There is a history of trauma many years ago. I am proficient with PRF sticky bone but not the catheter technique. I can attempt 2 draw technique. I assume I am aiming for a 4 or 4.5mm implant 2-3 mm apical to the socket for primary stability. Can someone walk me through how they would tackle this case. Would you place immediate crown....
Last Reply by Mark Kwon
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I placed this Nobel Active 3.5 X 13mm implant on Oct 3, 2016. When I flapped the area I discovered there was good B, M and L bone but it lacked any D bone at all. I could see about 6mm of the #46 mesial root and all the implant threads on the distal were visible. Initial implant stability was good at 25-30 N-cm. I placed a cover screw. Unfortunately I did not anticipate this problem and did not have any membranes in stock. Also I just recently ...
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This Nobel Active 3.5 X 13mm implant was placed Oct 3, 2016. When the site was flapped it was discovered that there was good B, M and L bone but lacked any D bone. About 6mm of the root #46 was visible once the flap was opened and most of the implant distal threads were visible. Initial stability was good around 25-30 N-cm. Unfortunately I did not have a membrane in stock and I just took the PRF course and am waiting for supplies to come in. I...
Last Reply by Ho-Young Chung
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Ho - Young, I've done a few immediate locators since your course and have had great success thus far. Following surgery patients are instructed not to remove the denture until the 2 week-post op/suture removal. What is your reccomendation protocol beyond the 2 weeks for the patient as far as removal? Does it change based on the number of implants 2/3/4? Thanks, Stefano...
Last Reply by Chad Denomme
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879 Views | 2
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Hello everybody. I placed this immediate implant without complication in mid June. Today or at the 3 month mark I was going to utilize a tissue punch to access the implant. When I anesthetized the crestal gingiva I noticed some minor purulence. Prior to anesthetizing everything looked great and I was surprised. I then used a 4mm tissue punch and ISQ shows 92. Radiograph on left is at placement, then next 2 are from today. I also remember at a...
Last Reply by Chad Denomme
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Hello everyone. I placed this implant in February of 2015 with no complications. Radiographs are Feb, June, August and October. I did take the course for implant complications and management. The tooth is in implant protected occlusion. It was a cement retained restoration. I only use screw retained whenever possible. I realize cement may be to blame. My plan is to access the screw, remove the crown and raise a flap on the buccal. I...
Last Reply by Mark Kwon
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If I could clarify my second question a bit more. I find alot of times with the hiossen kit and nobel as well when i was using it that the surgical drills alone are sometimes short. For example placing a 36 when 37 and 35 still exist i find the head of the drill gets close to the teeth and it can also be difficult to create and assess the initial osteotomy on the right angle and depth etc. Particularly in the LL quad. I am right handed.Obviously ...
Last Reply by Ho-Young Chung
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Hello everyone. I have a general bone grafting question. I took a very informative bone grafting course with Dr. Jin last year. But there is still something I am confused about. If a patient decides to choose a bridge over an implant to replace a hopeless 26, I would assume that ridge preservation would be recommended for a better contour under the pontic. My questions are: 1- what would be a better graft materi...
Last Reply by Admin BITES
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Dear instructors, Probably you remember this case. I have sent it on forum several times. I put pictures from before until finish and I would like to learn more. Please let me know your thought on this case. The Patient is happy because he was with no front teeth for a while. he presented with missing 11 and as you see root on 12 and broken root of 13 and no Bone on 21. Atruamatic exo were done and GBR was done. After ...
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