Dental Implants Q&A

Welcome to the OsseoNews.com dental implants Q&A section. Here you can find answers to real-life clinical questions faced in the day-to-day practice of implant dentistry.

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Bone Loss over the Life of a Dental Implant: Open Discussion

Bone loss occurs through out the life of a dental implant no matter what we do to it. How do we incorporate this truth into our treatment planning?

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Figuring out if the Crown or Abutment is Loose: Techniques?

My problem is occasionally I have a case where I cannot figure out if the crown or the abutment is loose. Is there some technique for using radiographs to make this determination so I could be confident in my treatment?

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Exposure Down to the Second Threads: Recommendations?

The patient now presents with a huge excess cement mass that apparently filled the spaces left by the original surgery. The patient has bone loss on both implants with exposure down to the second threads.

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Metal Framework on Procera Abutments

Metal Framework on Procera Abutments

I am concerned that the metal framework may damage the Procera abutments.

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Alveolar Mucosa Growing over the Implants and Locator attachments: How to Control This?

My problem is that the alveolar mucosa keeps growing over the dental implants and Locator attachments. Is there anything I can do to control this situation?

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Implant Patient with Post Op Parasthesia: Consensus Treatment?

After 20+ years and 1,000′s of dental implants I finally have a patient with a post op parasthesia. I’d like to get a consensus on treatment.

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Psoriatic Arthritis: Contraindication for Dental Implants?

Is there any contraindication to implant placement in a patient who has psoriatic arthritis?

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Healing Cap Stuck on BioHorizon Implants Laser-Lok Design: Recommendations?

I installed 3 BioHorizon 3.5mm implant fixtures with internal hex connection and laser lok design. At the uncovering 3 months later, I could not remove the cover cap on #19.

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Apical Fenestration: Recommendations for Treatment?

Patient presented with a recently placed implant fixture with a fenestration in the buccal cortical plate at the level of the apical third.

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Pain on Apical Pressure after Short Implant: Recommendations?

I installed short implant. When the patient returned for uncover, there was pain on apical pressure.

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Tooth Fragments Left Behind After Extraction: Proper Protocol before Implant?

If I am going to install an implant in #3 area do I need to go in and remove the tooth fragments prior to or at the time of implant installation?

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Guarantee for Dental Implants: Discussion Topic

For some implant systems and in some countries, implants may be guaranteed for life. How do you feel about giving a guarantee for dental implants that you install?

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Failures with Z System’s Zirconium Oxide Implants: Explanations?

We place the Z System’s zirconium oxide implants and have had relatively good success. What I am trying to understand is why not all of them succeed.

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Dental Implants in Patient with Graft Versus Host Disease: Guidance?

I have a new dental implant patient who presents with a history of leukemia and a bone marrow transplant. He is currently suffering from graft versus host disease.

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Periodontally Questionable Teeth: Retention vs. Extraction and Implants

Should we now be revising our traditional approach to the retention of questionable or marginal teeth and leaning more toward extraction and replacement with implants?

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Remove Broken Screws from Screw-Vent 10mm Placed 20 Years Ago: Any Insights?

I now have been referred a patient who has a Screw-Vent 10mm implant placed around 20 years ago with the abutment fracturing 17 years ago. With word getting out that I remove these screws this patient has presented to my office.

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Autogenous Bone Graft: Is this still Justified?

With all these other graft materials available, and their proven efficacy, is there still justification for creating a second surgical site to harvest an autogenous graft?

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The Atrophic Maxillary Anterior Ridge: Discussion Topic

One of the most difficult challenges is the management of the atrophic or deficient maxillary anterior ridge.

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MIAMBE (Minimally Invasive Antral Membrane Balloon Elevation): Discussion

With the advent of MIAMBE (Minimally Invasive Antral Membrane Balloon Elevation), another technique is being used with success that offers advantages and disadvantages.

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Osteotomy Site Preparation: Use Hollow osteotomy drills with internal irrigation?

The instructor recommended using hollow osteotomy drills with internal irrigation with cold water.

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Splinting Natural Teeth to Implants: What Strategies Work?

I have encountered a number of cases where this could produce a better prosthetic result if I can be confident that splinting natural teeth to implants can be successful.

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Extraction of Teeth and the Impact on Site Preservation: Open Discussion

The extraction of teeth prior to implant installation has received a great deal of attention in recent years because of the impact on site preservation.

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Atlas Narrow Body Implant Showing Significant Bone Loss: How Do I Save this Case?

I recently did my first narrow diameter implant case using 4 Atlas narrow body implants. The Atlas implant in #26 area was exuding purulence

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Post-Cementation Pain for Implant Patient: What’s Going On?

I have a patient with high aesthetic demands for a single cement retained crown on an implant… After 5 months, the patient experiences pain on an intermittent basis.

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