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Archive for November, 2009

• Platform Switching: Evidence for this Protocol?

  According to a periodontist at my implant study club, the evidence for justifying the platform switching protocol is lacking.

    Read More and Comment  | 10 Comments »
 
• Bone Grafting at Time of Extraction: Can This Get Costly?

  Bone grafting at the time of extraction adds the cost of the graft and membrane. But if later a block graft is required to develop the site for implant placement, that is even more costly and may entail two surgical procedures.

    Read More and Comment  | 8 Comments »
 
• Benefits of PRP and PRGF: Does the Clinical Experience Support the Literature?

  I have read about PRP and PRGF and have attended lectures on the subject. It seems like the literature establishes a strong case for the benefits of using these in bone grafts to enhance regeneration and healing.

    Read More and Comment  | 23 Comments »
 
• Submerged Implant Fixture: Is this a Problem?

  I placed the implant fixtures too far subgingivally so that the top of the implant platform is 4mm cervical to the adjacent cervical margins. Is this really a problem?

    Read More and Comment  | 8 Comments »
 
• Mesiodistal Space a Mere 3.5mm: Will My Plan Work?

  I have treatment planned her for the insertion of a narrow platform implant. I would then place another temporary crown and later a porcelain fused to metal crown. Will this work?

    Read More and Comment  | 17 Comments »
 
• Narrow or Regular Platform Implant?

  I am really not sure about this because sometimes the radiograph looks like there is adequate bone and then after I reflect the flap I see that the buccal cortical plate is very thin or dehisced. When this happens I usually go to a 3.5mm implant fixture to makes sure that I have enough bone volume.

    Read More and Comment  | 17 Comments »
 
• Abutment Level Impressions vs. Implant Level Impressions?

  I plan to make final impressions at the abutment level and then insert the permanent bridges. In the past I made implant level impressions and then inserted the permanent abutments and bridges at the same time. Anything wrong with making abutment level impressions like I am planning?

    Read More and Comment  | 6 Comments »
 
• Treatment Plan for Partially Edentulous Maxilla in Patient with Rheumatoid Athritis?

  I have an elderly female patient with a history of rheumatoid arthritis who is almost completely edentulous in her maxilla.

    Read More and Comment  | 2 Comments »