New to Implants: Where in the Socket Should I Place the Implant?
I have treatment planned a mandibular first molar for extraction and immediate replacement with a wide platform implant. After extracting the tooth, exactly where in the socket should I place the implant?
Nobel Groovy Implants: Higher Rate of Failure and Increase in Peri-Implantitis?
At a recent course I took, a well known, prominent lecturer stated that Nobel Groovy implants have a higher rate of failure due to the TiUnite surface which covers the entire implant fixture surface, including the collar.
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?
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?
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?
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…
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.
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?
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.
How Do I Assess Primary Stability?
How do I assess the primary stability of the implant fixture after I have torque it down to 30-35 Ncm?
Perforated the Lingual Cortical Plate: Expect Complications?
While placing a dental implant fixture in #19 area I perforated the lingual cortical plate. Should I expect complications in osseointegration? Advice?
Implant Fixture Too Close to Root of Adjacent Tooth: Will it Osseointegrate?
I placed one implant on the #13 site [maxillary left second premolar] but underestimated how far from the maxillary first premolar I should have drilled the pilot hole. If I leave the implant fixture as is, will it osseointegrate?
Exposure of Membrane: Why?
One of the problems I am having is that when the patient returns for post-operative follow-up, they have the membrane over the graft site exposed.
MK III Implant: When is the Best Time to Place the Final Abutment?
My periodontist has told me that he is going to extract the tooth, place a bone and soft tissue graft, place a Nobel Biocare MK III implant, and bond the crown of the central incisor to the adjacent central incisor and lateral incisor while the implant fixture osseointegrates.
Post-Operative Infections from Bone Grafting?
Is anybody aware of any patients developing prion or other bacterial infections following bone grafting procedures?
Sinus Lift in Two Stages?
Can I do the sinus lift in 2-stages? Can I lift the sinus and graft 2-3mm of bone, wait for that graft to heal and then graft again at the time of implant placement?
Locator Attachments: Trouble Picking Them Up in Overdenture?
I have just started doing mandibular retained overdentures using Locator attachments. But one problem I have been having is picking them up in the overdenture.
Advice for Complication in Creation and Maintenance of an Interproximal Papilla?
I am seeking advice for a complication in the creation and maintenance of an interproximal papilla between #7 and 8, an aesthetically demanding site.
Implant Systems: Commercially Pure Titanium vs. Alloy?
I have a recently experienced two posterior Astra implant fractures. I was told by a colleague that Astra implants are made up of commercially pure titanium, while most other implant systems use an alloy.
Type of Anesthesia for Dental Implant Surgery?
Do I need general anesthesia for one implant for front tooth #9 or will local anesthesia be fine. I am concerned about the dangers of general anesthesia, which the oral surgeon has downplayed.
Implants Too Close: Can I Use Orthodontics To Create Space?
My problem is that I think I placed the dental implants too close together. I am not sure what the minimum distance is between adjacent implants. My question is can I use orthodontics to move the implants apart to create adequate space?
Large Defect in the Labial Cortical Plate
This created a very large defect in the labial cortical plate. I therefore decided not to place the permanent implants.
Abutment Screw Gets Stuck: How to Prevent This?
Last week I was screwing down the abutment screw when it got stuck. I am not sure what happened.
Crown 1mm Short of the Margin: Recommendations?
I cemented a crown on a dental implant abutment using a mixture of Tempbond [Kerr] and Vaseline. The post-cementation radiograph showed that the crown was 1mm short of the margin.
Suture Lost Exposing the Implant: What to Do?
The patient still has some throbbing pain in the area upon palpation and the implant is still exposed. What should I do next?
