I attended a course on implant site development where several lecturers from Europe recommend particulate or autograft mixed with particulate grafts stabilized with metal screws and covered with a titanium or Teflon/titanium supported membrane.
Most recent news relating to dental implants.
He used the term de-epithelialize the extraction socket and surrounding tissue. He made the point that this was very important for the success of the graft and implant. What did he mean?
Are there any materials that can be mixed and applied over the graft to harden and contain the graft material? Is there a reasonable alternative to barrier membranes?
I would appreciate some input regarding my treatment plan for fixed partial dentures.
What do you tell your patients the expected lifespan is for dental implants?
I am only doing simple implant cases. How do I best protect myself from potential lawsuits from implant surgery?
I am now considering going back to the way I used to do immediate placement, but using extra-wide implants – 8-9mm wide implants.
What I am planning now is to use only standard abutments and prepare them as though they were natural teeth. I hope to avoid using custom abutments as much as possible.
Can I place the implant now or do I have to wait 2-4 months for complete healing of the site?
There are many different views on cement retention of implant crowns and fixed partial dentures. What is everyone using?
According to a periodontist at my implant study club, the evidence for justifying the platform switching protocol is lacking.
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.
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.
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?
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?
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.
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?
I have an elderly female patient with a history of rheumatoid arthritis who is almost completely edentulous in her maxilla.
What is the current thinking on grafting extraction sites? My understanding is that if the buccal cortical plate is intact there is no need to graft.
I read an article in the current issue of JOMI on the Accuracy of Different Impression Techniques for Internal-Connection Implants which described a technique for making implant level impressions on slightly malaligned implant fixtures.
What is the consensus on sinus grafting at the time of extraction of an infected tooth, such as with a failed root canal treatment
I have a patient who has had 2 implant failures in site for tooth #9.
Could anyone please tell me how to sterilize the new Ankylos surgical kit?
I placed my first tapered dental implant. I usually place cylinder shaped implants with straight walls. I made the osteotomy site too large.
I will later place implants in 13 and 14 positions and splint two crowns. Would this treatment plan provide the best chance of success for this situation?