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Archive for June, 2007
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Alloderm Graft Failure: What Could Have Been Done?
I recently had a failure of an Alloderm graft placed via a vertical incision medial to previous extraction site and graft # 10. I felt that I had sufficient relaxation of the pocket to prevent compression.
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| 7 Comments » -
No Cortical Bone: What’s the Prognosis?
I laid a full thickness flap to place a dental implant in the maxillary canine area. The buccal and lingual cortical plates were healthy and sound. But at the height of the alveolar crest, the bone was cancellous without a cortical bone outer surface. I filled the defect with Dyna putty graft material.
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| 7 Comments » -
Trouble Getting Primary Stability
I have been having trouble getting good primary stability when I place dental implant fixtures. In order to increase stability, I have been using ligature wire to splint the implant fixtures to the adjacent teeth.
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| 20 Comments » -
Implant Patient Taking Aspirin: Should I Proceed?
I am planning to place a dental implant immediately following tooth extraction. Patient takes one aspirin daily. His physician refuses to get him off it.
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| 11 Comments » -
Re-Establish Lost Palatal Portion after Failed Bone Graft?
I placed a mineralized freeze dried bone graft and titanium reinforced membrane over an alveolar ridge deficiency and facial defect #9 area. After about 5 weeks, the membrane became exposed on the palate and eventually I had to remove it.
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| 5 Comments » -
Use of Antibiotics for Implant Placement: Evidence-Based Protocol?
Is anyone aware of any evidence-based protocol for the use of antibiotics routinely for placement of dental implants?
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| 5 Comments » -
Fracture of Buccal Cortical Plate: What To Expect?
After placing a 5×13mm dental implant in the maxillary canine area, I detected a hairline fracture in the buccal cortical plate.
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| 13 Comments » -
Difficulty Seating Overdenture with Locator
For the first 6 months the Locators worked fine. Because the abutments were not exactly parallel, I used the Green Locator attachments for retention. After 6 months when I attempted to use the Blue Locator male attachments to increase retention…
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| 9 Comments » -
Exposure of Graft: How to Manage?
I have performed a bone block graft from the ramus on the anterior maxilla for future dental implant placement. During healing I had a small fenestration of the flap and exposure of the graft.
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| 9 Comments » -
Short Wait for Osseointegration?
As fixture design and surface coating have evolved, osseointegration periods have shortened considerably.
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| 19 Comments » -
Implants Following Radiation Treatment?
I am going to place dental implants in the mandible. The patient had radiation treatment for cancer therapy 20 years ago. Is it safe now for me to place the dental implants?
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| 18 Comments » -
Gingiva Blanches Around Implant-Abutment Junction: Will This Resolve?
When I torque down the abutment into the dental implant, sometimes the gingiva blanches around the junction of the implant platform and the abutment margin on the buccal.
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| 2 Comments » -
Endodontically-Treated Tooth Next to Implant Site: Correct Protocol?
Whenever there is an endodontically-treated tooth next to the dental implant site, I refer the patient to an endodontist to evaluate the endo tooth and to determine if retreatment or periapical surgery is required prior to placing the dental implant.
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| 6 Comments »
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