This case presented presented a tricky grafting situation.
Discussions related to bone grafting during dental implant procedures.
Does anyone use a periodontal packing on top of a membrane when grafting a larger grafting site/fresh extraction?
What flap design are you using where you are augmenting the palatal bone for a maxillary molar site ?
If there is insufficient buccal – lingual width, would you choose a narrower implant or perform bone augmentation so you can place a wide implant?
I’ve come across a number of different techniques and materials for socket preservation, and I’d just like to know what is working for some of you and what is not?
Patient is missing his maxillary right central incisor. The problem is that the alveolar ridge is very much resorped in that site.
On examination the implant appeared slightly mobile and copious pus was draining through a fistula above the crown.
The implant is still stable. However, there is bone loss on the lingual.
Patient came in for follow up and the second PA was obtained. 2 mm of crestal bone loss has occurred.
The membrane became exposed on the third day post-operatively.
Will a highly inflamed sinus lead to graft failure?
Better platelet preparations are now available to use from either Concentrated Growth Factor (CGF) from Silfradent or A-PRF from Choukroun.
What are the most common causes for implant dehiscence and also what are the most important protocols you recommend for both treatment and prevention?
This case discusses approaches to solve the problem of recession involving implants predictably.
I am concerned that I will not be able lift the membrane off the septum without tearing, and so I’m considering using a Bicon implant.
I would like to find out some more information on the i-PRF, injectable platelet rich fibrin, technique.
Here is a the situation: Graft material is inadvertently pushed into the maxillary sinus because a perforation in the sinus membrane that was not detected during a Summer’s internal lift. Will this cause any complications that require intervention? What is the best way to manage this situation?
In all instances, the implant and the surrounding tissues appeared fine and asymptomatic. However, the patient returned complaining of exudate.
I laid a full thickness flap and determined that there had been significant bone loss.
Unfortunately at today’s exposure appointment, the implant had a small spontaneously exposure palataly and bone deficiency.
4 months post treatment with an implant, an x-ray was taken and I noticed some defects where Bio-oss was placed.
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.