Discussions on Surgical Placement of Dental Implants

I am doing my thesis on The Effect of Magnetic Fields on Bone Healing Around Endosseous Implants in the mandible. In my experimental design, I have placed 2 implants in the mandible one on each side in the anterior region and subjected one of them to a magnetic field.

The patient would like to avoid the lateral window sinus lift at all cost, so I looked at an alternative of performing a osteotome assisted sinus lift, in which case I would have to use shorter implants.

Everything was fine for awhile, but a few weeks ago when the patient removed her overdenture, she pulled out one of the dental implants.

I would rather compromise some on the prosthetic rehabilitation to so that I can attain a viable implant osseointegration.

Then at 3.5 to 4 weeks patient returns with a moderate size swelling in the upper side where the sinus lift was performed.

I have a patient who recently completed radiation treatment for lung cancer. She would like dental implants in the maxilla.

I have a patient that has presented with recurrent infection after implant surgery. Could a delay in removing the coverscrew and placing the healing abutment have caused this?

Are there any contradindications to immediate placement that I should be aware of?

I started using Piezosurgery recently to extract some of the root canal treated anterior teeth during immediate implant cases. I noticed after the extractions that the socket bone almost looks burned and bleeding is reduced.

I would like to use a soft tissue diode laser more for Stage 2 uncovery. What are your recommendations?

If a female patient is pregnant, when is the safest time frame to surgically place dental implants?

During implant surgery, while raising the full thickness flap I entered the nose area. Is there a protocol when you enter the nose?

I recently placed an Astra 4.0×13 implant in the #5 area. The implant fixture became stuck at the midpoint of the depth of the osteotomy during installation.

I have been confronted with a case of early implant failure resulting in the removal of the implant, I am trying to figure out what went wrong with a case that I just did which failed immediately.

Out of hundreds of implants placed, I have had a few instances (three or four) where the drill penetrated the inferior alveolar nerve. I

When you get to the stage where you have already placed your osteotomy channel and you are down the implant fixture and you take a radiograph and see that the fixture is malpositioned or misangled, what should you do?

For implants in the anterior mandible, some of the surgeons that I work with are concerned about an anatomical variation which could result in in a life-threatening hemorrhage.

I am concerned about placing implants in the atrophied anterior mandible with decreased bone height like 10-12mm. What chance is there for fracturing the anterior mandible?

I placed an MIS 10mm implant in the #30 site in a two stage approach, and covered the implant with a cover screw. I then closed over the implant site with a mucoperiosteal flap secured by 3 silk sutures.

While drilling the osteotomy in the premolar-canine area, I inadvertently perforated the lingual cortical plate.

The site has a slight buccal concavity. To compensate for this I am going to have to place the implant at an angle relative to the occlusal plane.

What technique would you recommend for the management of the sinus membrane along the vertical medial wall of the sinus?

I have an edentulous patient with very little bone in the mandible who complains that her mandibular complete denture is loose and shifts around when she eats.

I have a patient with a history of bruxism (clenching specifically) that is considering implant surgery to replace/repair a number of lost or damaged teeth.

How stable/ reliable is an 8 mm endosseous implants in the #3,4,5 area?