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Archive for June, 2009

• Dental Implant Spinning in Socket: How to Manage?

  ut when I went in to torque down the abutment, the implant began to spin in the socket. What do I do now?

    Read More and Comment  | 33 Comments »
 
• Possible to Cause Compression Necrosis by Tightening Too Much?

  I tightened the implant beyond 45 Ncm. It’s the fourth post-operative day and the patient still has pain which is relieved with analgesics.

    Read More and Comment  | 28 Comments »
 
• Using Osteotomes to Place Implants: Avoid Membrane Perforation?

  I am planning on using osteotomes to fracture the floor of the sinus and elevate it 4mm in order to gain adequate bone height to place 4.1×8mm tapered implants.

    Read More and Comment  | 25 Comments »
 
• Reusing Implants: Is it Possible?

  If an implant fails and exfoliates by itself or is extracted, can that implant be sterilized and reused?

    Read More and Comment  | 63 Comments »
 
• Video: AlloDerm Grafting: Class III Recession with Cervical Notching

  This surgical video shows AlloDerm grafting using the Papilla Retention Pouch procedure to treat Class III recession in the mandibular arch.

    Read More and Comment  | 1 Comment »
 
• Video: Implant Microsurgery Lower Left Premolar

  Watch a video on Implant Microsurgery Lower Left Premolar

    Read More and Comment  | 2 Comments »
 
• Too Much Insertion Pressure When Placing Implants Leading to Pain?

  I placed a parallel wall cylinder implant 4×11.5 at #29 site, mandibular right second premolar, on a 37 year-old healthy woman.

    Read More and Comment  | 4 Comments »
 
• Osteocel: Eliminate Need for an AutoGraft Due to Unique Properties?

  I have seen advertisements for Osteocel, which describe this as a bone matrix product containing stem cells

    Read More and Comment  | 6 Comments »
 
• Packed in More Graft than Needed: What Should I Do?

  When I viewed the immediate post-op panoramic radiograph, I noticed that I had packed in a bit more graft than I really needed and this appears to have obliterated part of the maxillary sinus cavity.

    Read More and Comment  | 8 Comments »
 
• Abutment for HA MicroVent Implant?

  I have a patient with an HA MicroVent 10 X 3.7 implant in the #4 region which was placed in 1989.

    Read More and Comment  | 7 Comments »
 
• Chances of Injuring the Nasopalatine Foramen During Implant Placement?

  On the periapical radiograph the root apex appears very close to the nasopalatine foramen. What are my chances of injuring the nerve?

    Read More and Comment  | 7 Comments »
 
• Xenogenous Block Graft Cracked: What Should I Do?

  I re-entered the site and placed two implants. The block graft cracked. I filled the fractured areas with Bio-Oss and covered it with a membrane.

    Read More and Comment  | 5 Comments »
 
• Using Cantilevered Pontics in the Posterior Maxilla?

  I talked with my oral surgeon who is very conservative and careful. His recommendation is not to use cantilevered pontics in the posterior maxilla because 80% of the occlusal force on those pontics will be transmitted to the adjacent implant.

    Read More and Comment  | 5 Comments »
 
• Using Implant as an Abutment for a Removable Partial Denture?

  Is there any way that I can use an implant as an abutment for a removable partial denture? Is there some protocol for using a particular attachment system like ERA or Locator to use the implant for retention of the removable partial denture?

    Read More and Comment  | 4 Comments »
 
• Bone Graft Exposed: How to Deal with this Condition?

  I have an implant case which involved ridge splitting, implant placement, guided bone regeneration using Bio-Oss (Osteohealth) and Epiguide membrane (Riemser) in the left posterior mandible area (35-37).

    Read More and Comment  | 8 Comments »
 
• Bone Loss and Purulence Around Implant: Correct Procedure?

  I noticed pus discharge on finger pressure on the labial side and radiographs show bone loss in the shape of crater up to the 3rd thread of the implant.

    Read More and Comment  | 20 Comments »
 
• Implant Patient with History of Hodgkin’s Lymphoma: Precautions?

  I have a female patient in her early 50’s with a history of Hodgkin’s Lymphoma, are there any precautions to take prior to implant surgery?

    Read More and Comment  | 1 Comment »
 
• Brain Base Implants: How Does this System Compare to Others?

  Is there anyone using the Arrow Implant manufactured by the Brain Base Corp. in Japan? I am interested in the RBM surface that this implant system utilizes.

    Read More and Comment  | 5 Comments »
 
• Immediate Placement of Implants: Graft First or Only After Placement?

  Is it better to place the implant and torque it down and then place the graft around it? Or should I graft the socket first and then insert the implant fixture into the socket?

    Read More and Comment  | 27 Comments »
 
• Connecting Implants and Natural Teeth: Philosophy Changing?

  I just attended a lecture about connecting implants and natural teeth. It seems that the philosophy has changed.

    Read More and Comment  | 11 Comments »
 
• 5 Free-Standing Implants to Retain a Maxillary Overdenture?

  Are any of you using this design with 5 free-standing implants to retain a maxillary overdenture with a horeshoe major connector design?

    Read More and Comment  | 10 Comments »