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Archive for October, 2008

• Standard Implants vs. Mini Implants for Lower Overdenture?

  I am going to be getting a lower overdenture and have received two conflicting pieces of advice from dentists, one says to use conventional implants while the other says to use mini implants.

    Read More and Comment  | 46 Comments »
 
• Drilling Hole for Implant Fixture: Proper Handpiece Settings?

  My question is with a 32:1 contra-angle, what should my handpiece settings be in terms of speed (rpm) and torque when I am drilling a hole for the implant fixture?

    Read More and Comment  | 15 Comments »
 
• Immediate Placement for Patient with Periodontal Disease: What is the Best Implant System To Use for This?

  I have a patient with severe periodontal disease. I will extract maxillary first premolar to first premolar and place implants at that time. What is the best implant system to use?

    Read More and Comment  | 23 Comments »
 
• How Many Implants Are Needed for an Overdenture?

  I have been given two different opinions regarding the number of dental implants needed for an overdenture.

    Read More and Comment  | 17 Comments »
 
• Precautions to Take To Avoid Hitting Blood Vessel During Implant Surgery?

  I need to place two conventional dental implants in the mandibular anterior region to the right and left of the midline. On analyzing a Cone Beam Volumetric Scan, I noted a large blood vessel just a few millimeters inferior and lingual to where I need to place the implants.

    Read More and Comment  | 25 Comments »
 
• Sinus Membrane Perforation: How Long Should I Wait?

  This recent sinus membrane perforation was quite large and I could not patch it with a collagen membrane or suture it back together so I closed the surgical site as best I could and will allow it to heal.

    Read More and Comment  | 26 Comments »
 
• Establishing Medical Necessity for Dental Implants for Insurance?

  Apparently the insurance company will pay for dental implants if I can establish that there is a medical necessity for the dental implants.

    Read More and Comment  | 9 Comments »
 
• FDK Algorithm to Compensate for Distortions in Cone Beam Volumetric Tomography Images?

  I have read some articles about the using the FDK algorithm to compensate for artifacts or distortions in cone beam ct imaging.

    Read More and Comment  | 4 Comments »
 
• Interpreting the Dimensions from a CBVT Scan?

  I am just starting out in reading a cone beam volumetric scan to place my own dental implants. I recognize the anatomical structures. What I am having difficulty with is interpreting the dimensions.

    Read More and Comment  | 5 Comments »
 
• Position of Mental Foramen Nerve and Vulnerability to Damage During Surgery?

  Is it possible for the nerve to be positioned over the alveolar ridge crest, under keratinized tissue, thus being vulnerable to damage during a mid-crestal incision for surgery?

    Read More and Comment  | 8 Comments »
 
• Replacing Maxillary Second Molars in Patient with Bruxism?

  I have a Type I diabetic patient who has lost one of his legs due to vascular compromises from the diabetes. He also has a severe bruxing problem and has lost several teeth due to fracture. We have done a fair number of root canals and crowns on him.

    Read More and Comment  | 4 Comments »
 
• Crown Keeps Falling Off?

  I have a dental implant with an abutment post for my crown. I’ve been back to my dentist 5 times because the crown keeps coming loose and I am worried about it falling off.

    Read More and Comment  | 8 Comments »
 
• A Universal Torque Wrench System?

  I have to use 5 different dental implant systems because each of my periodontists and oral surgeons each insist on using different implant systems.

    Read More and Comment  | 16 Comments »
 
• Dental Implants for Patients with Diabetes?

  I have a number of patients in my practice who have Type I or II diabetes. What laboratory values should I evaluate to determine which patients can have dental implants placed and which are not suitable candidates for implants?

    Read More and Comment  | 15 Comments »
 
• Implant Not Correctly Positioned: Recommendations?

  My general dentist says my dental implant is not correctly positioned and my new oral surgeon agrees it is not correctly positioned and recommends a screw-on crown because of the required short abutment

    Read More and Comment  | 12 Comments »
 
• Can I Use an Electric Toothbrush after Implant Placement?

  Should I wait until the dental implant is fully integrated before I use an electric toothbrush? Should I never use an electric toothbrush on the implant?

    Read More and Comment  | 5 Comments »
 
• Heavy Metal Poisoning: Potential Implant Complications?

  I have several patients that I have treatment planned for implant placement and restoration who have suffered from heavy metal poisoning – such as mercury.

    Read More and Comment  | 3 Comments »
 
• Shorter Implants: Viable Alternatives to Sinus Lifts?

  The field of shorter implants keeps expanding and it looks as though more and more successful cases with shorter implants are being done.

    Read More and Comment  | 25 Comments »
 
• How Do I Make the Transition to Cone Beam Volumetric Tomography?

  After reading about the use of Cone Beam Volumetric Tomography (CBVT) to treatment plan implant placement, I feel that I may not be doing all that I can to insure the best implant placement.

    Read More and Comment  | 8 Comments »