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Archive for December, 2008

• Placing Implants: How Should I Lay the Flap to Avoid Cutting the Mental Foramen?

  I have a case now where I have to place implants bilaterally in the mandibular first and second premolar areas. How should I lay the full thickness flap to gain maximum exposure and visibility and avoid cutting the mental foramen loop?

    Read More and Comment  | 30 Comments »
 
• 80% Bone Loss Post Root Canal: Replace with Implant and Crown?

  The periapical radiograph shows 80% bone loss around the root. Should I recommend removing the tooth and replacing it with an implant and crown?

    Read More and Comment  | 6 Comments »
 
• Implants to Solve Diastema Esthetic Issue?

  I have a patient who is a beautiful woman with this huge diastema between her maxillary central incisors. I think if I placed an implant between them I could fit in a crown that would add harmony and balance to her smile line.

    Read More and Comment  | 10 Comments »
 
• Advantages of Lingualized Occlusion Over Other Occlusal Schemes when Restoring Implants?

  I have been taking courses on how to restore implants. I have heard several lecturers discuss the benefits of using a lingualized occlusion scheme and that this places less stress on the implants and is easy to adjust.

    Read More and Comment  | 2 Comments »
 
• Treating Peri-Implantitis: How Do I Disinfect the Implant Surface?

  I have been trying to find out more about disinfecting the implant surface in cases of peri-implantitis. I have seen references and heard speakers recommend citric acid and tetracycline.

    Read More and Comment  | 3 Comments »
 
• Orienting Drills and Implants to Avoid Lingual Concavity?

  I am wondering about orienting the drills and dental implants in the proper orientation to avoid the lingual concavity. Can anyone please offer some advice?

    Read More and Comment  | 17 Comments »
 
• Missing Lower First Molar and Second Premolar: One Implant or Two?

  I have a patient missing the lower left first molar and second premolar. Should I use one or two implants? What is the correct treatment plan?

    Read More and Comment  | 19 Comments »
 
• Pitt Easy Dental Implant with Puretex Surface: How is this Different than Past Implant Surfaces?

  Sybron has recently launched the Pitt Easy Dental Implant with a Puretex surface. This is supposed to represent the next step in the evolution of implant surface treatment…

    Read More and Comment  | 8 Comments »
 
• Piezosurgery: Device Gets Really Hot During Implant Surgery?

  We just started using Piezosurgery in our periodontal and implant practice. Our Piezo surgical unit handpiece is getting really hot while we are in the middle of surgery.

    Read More and Comment  | 9 Comments »
 
• Buccal Bone Loss on Immediate Implant: Recommendations?

  I extracted the maxillary right canine and central incisor and placed 2 immediate dental implants. The lateral incisor was already missing…I decided to do stage-2 today uncover on the spot and I laid a flap to discover that the implant in the canine position is completely dehisced on the buccal…

    Read More and Comment  | 28 Comments »
 
• Implant Lost in Sinus: What to Do?

  Today in the dental clinic an orthodontic implant was lost in the sinus. We went in and tried to locate it.

    Read More and Comment  | 33 Comments »
 
• CBVT Scans: Do I Need Software to Read These?

  I have just started using Cone Beam Volumetric Tomography (CBVT). Is it possible to read these without having to purchase expensive software line NobelGuide or Simplant?

    Read More and Comment  | 10 Comments »
 
• Establish Tight Proximal Contact with Composite Resins: Best Method?

  What is the best way to establish tight proximal contact with composite resins?

    Read More and Comment  | 7 Comments »
 
• Patient Does Not Like Aesthetics of Cemented Crowns: How Do You Manage This?

  What do you do when a patient comes back two weeks after you have cemented ceramic crowns on her lateral incisors and tells you that she does not like the aesthetics and wants the crowns redone.

    Read More and Comment  | 3 Comments »
 
• All Ceramic Restorations: Preventing Contamination of the Resin Cement at the Gingival Margins?

  In the real world, with all ceramic restorations my margins generally end up subgingivally and I have to contend with tissue retraction, saliva and blood. How do you achieve adequate isolation so you will not get contamination of the resin cement at the gingival margins?

    Read More and Comment  | 1 Comment »
 
• Posterior Composites: How Are You Handling the Transition?

  Many of my patients want posterior composites. I can’t blame them. Composite makes the filling look like it is part of the tooth.

    Read More and Comment  | 3 Comments »
 
• All Ceramic Restoration: When Should You Remove the Cement from the Margins?

  When should you remove the cement from the margins of an all-ceramic restoration? What worries me is that I routinely use a shoulder finish line. When I remove partially set resin cement when it is in its gel state, I am wondering if I am also pulling out the cement from the marginal seal?

    Read More and Comment  | 2 Comments »
 
• Attached Gingival on Left and Alveolar Mucosa on Right: Proper Technique?

  I have just placed 2 Ankylos dental implants at the subcrestal postion in the mandible at the canine positions. On the left side there is 1mm attached gingival and on the right there is no attached gingival – just alveolar mucosa.

    Read More and Comment  | 12 Comments »
 
• Abutment Not Fully Seated: Leave as Is or Drill it Out?

  I hand-tightened the abutment screw and then I torque it down to 35Ncm. I realized then that I had made 2 errors. A radiograph demonstrated that the abutment was not fully seated when I torque it to 35Ncm. Also I realized that I was only supposed to torque it to 20 Ncm.

    Read More and Comment  | 8 Comments »
 
• Bisphosphonates: What is the Latest Protocol?

  I have read several articles and comments on Bisphosphonates, as it relates to dental implants, but this whole matter keeps developing and changing. What is the current protocol for managing dental implant patients taking Actonel?

    Read More and Comment  | 13 Comments »
 
• Future of Amalgam Restorations?

  I would like to go amalgam-free. How do I accomplish this? In my area, all the GP’s still do amalgam restorations. Is it legal for me to advertise that I am an amalgam-free dental practice?

    Read More and Comment  | 4 Comments »
 
• Membrane Dislodged: Recommendations?

  I performed site preservation at site #19 with BioOss and Collatape coverage and a few days later the Collatape membrane became dislodged, exposing the graft site.

    Read More and Comment  | 13 Comments »