Unfortunately during the recall appointment today I noticed there was about a 1cm exposure of the titanium mesh but with absence of infection or discharge.
The implant didn’t go in tight and resulted in a spinner when trying to place cover screw over and inability to completely cover implant platform.
The surgeon reconstructed the mandible with a rib graft 6 months after the initial surgery. Patient is asking for implants at the reconstructed area.
I extracted #13 due to extreme mobility, and now patient wants implant there.
Do you observe any particular tendency in bone resorption patterns around the implants when doing All on 4?
The CBVT scan showed that the palatal cortical plate adjacent to #3 site was missing. What are the grafting options?
I have a 62 year old female patient with severe bone loss on the mesial aspect of #7 . What is the most predictable treatment?
The grafted bone seems to have attained some mineralization and also is fusing with the native bone but perhaps, not with the implant.
I have treated several cases of bone defect, but have never grafted into a site this large.
I have done a number of these cases, but I have yet to find a technique that would predictably allow good grafting of the site.
But for last couple of months his maxillary CD fractures frequently in the midline and now patient desires a more durable and stable prosthesis supported or retained by implants.
There seems to be a difference in opinion on the need to cover a grafted socket with a membrane when there is no defect present.
I installed an implant and also did a bone graft in #13 site and covered with a cytoplast membrane and sutured the site.
I saw a patient with missing tooth #9. Patient needs a dental implant. Cone beam CT reveals apical perforation of alveolar bone visible about 6 mm apical to the crestal bone.
That evening following surgery, the patient mentioned that she was having nasal drip on her left side of the nose that was opposite from where I had installed the implants.
I would like to open up the discussion and move the focus to what people have been using the obtained PRF clot and/or PRP for in practice?
That said, it seems that the angle of the centrifuge may matter in the final PRF clot made, or….it may not.
The bone in this case does not appear dense as compared to other cases that I eventually placed implants in.
I have read not to put pressure on a site that has been grafted. What about if you are doing a partial or full mouth extraction case for an immediate denture?
Note the massive bone loss around the implants. Patient is a heavy bruxer but is too lazy to wear the protective nightguard.
The pattern of bone loss is what is puzzling to me as is the island of bone that can be seen on the mesial aspect.
My patient required bone augmentation for implant installation in his upper left.
I have seen cases with Bioss and similar xenografts where no membrane was placed.
I would like to know what would be the protocol for doing the multiple extractions and GBR procedure and how long do I need to wait to begin?
The periapical radiographs revealed significant bone loss on the mesial of #23.