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Discussions on Techniques and Procedures

Welcome to the Techniques and Procedures Section of OsseoNews.com, where you can research, and participate in discussions about Techniques and Procedures. It's the one place where dentists, surgeons, and industry experts share their knowledge on Techniques and Procedures.

Recent Techniques and Procedures Discussions

• Connecting Implants and Natural Teeth ?

  When I started restoring dental implants 20 years ago, the consensus was not to connect implants and natural teeth because this resulted in intrusion of the natural teeth.

    Read More and Comment  | 21 Comments »
 
• Aesthetic Gingival Architecture Techniques

  He demonstrated how the best time to form highly aesthetic gingival architecture in the maxillary anterior aesthetic zone is at the time of implant placement.

    Read More and Comment  | 6 Comments »
 
• Unscrew the Transfer Coping Screw?

  After making my impression index, I attempted to unscrew the transfer coping screw. The angles of the internal hex rounded off and I could not engage the internal hex with the torque wrench.

    Read More and Comment  | 10 Comments »
 
• Tissue Punch Technique

  Can someone please elaborate a bit on the tissue punch technique for dental implant placement? What are the benefits of this approach versus the more traditional surgical flap procedures?

    Read More and Comment  | 5 Comments »
 
• Splinted or Free-Standing Restoration?

  When restoring multiple dental implants, what is the better treatment option: splinted crowns or free-standing individual crowns?

    Read More and Comment  | 5 Comments »
 
• Alveolar Distraction Osteogenesis

  In which cases should distraction be used? What kinds of complications have you encountered?

    Read More and Comment  | 9 Comments »
 
• O-Rings: Best Method for Overdenture Retention?

  What is the best method for holding a full denture to dental implant abutments? I’ve read alot about the O-Ring method, but I’m not sure if it is always applicable.

    Read More and Comment  | 2 Comments »
 
• Mini Implants to Support Fixed Bridges ?

  I read in Dental Economics where Gordon Christensen has proposed using mini dental implants to help support fixed bridges.

    Read More and Comment  | 9 Comments »
 
• Abutment Insertion Problems

  I have difficulty inserting the abutment into the dental implant fixture. The gingival tissue grows tightly against the healing cap.

    Read More and Comment  | 9 Comments »
 
• Platform Switching: Thoughts?

  Can someone explain, in simple terms, what platform switching is, and why it may lead to less bone loss?

    Read More and Comment  | 51 Comments »
 
• Maxillary Dentures Supported by Mushroom-Shaped Mucosal Implants?

  Dr. Flynn asks:
  A local general dentist is advertising palateless maxillary dentures supported by mushroom-shaped mucosal dental implants.

  Apparently the denture must be worn for two months while the soft
  tissue heals around the dental implants (which do not appear to extend into
  the bone).  I can not find any information concerning this procedure.
  Has anyone heard of this […]

    Read More and Comment  | 13 Comments »
 
• Reversed Lingualized Occlusion

  Dr. Marlow asks:
  Could somebody explain what “Reversed Lingualized Occlusion” is and how I use this? I have a patient who has a prominent Class III skeletal form with an edentulous maxilla and mandible.

  The mandible is much wider than the maxilla especially in the
  premolar-molar areas. My surgeon recommended that I have my lab use
  this kind […]

    Read More and Comment  | 7 Comments »
 
• All On 4 Technique

  I am trying to form my opinion on the ‘All On Four’ concept by Nobel Biocare. However, it is very difficult to find good data on the subject.

    Read More and Comment  | 43 Comments »
 
• Surgical Stents for Implant Placement

  I have begun to make surgical stents for my surgeon to guide the placement of dental implants in the maxillary aesthetic zone. There is some controversy over where to place a dental implant for a maxillary central incisor and what inclination to use.

    Read More and Comment  | 28 Comments »
 
• 4 Implants in the Mandibular Anterior Area?

  Dr. Ruddick asks:
  I have been using two dental implants to restore mandibular overdentures. I have my surgeon place a regular platform dental implant in the #22 and 27 areas and then I retrofit the existing mandibular complete denture.

  I was recently at a dental implant course where several dentists were
  describing how they used 4- dental implants […]

    Read More and Comment  | 14 Comments »
 
• Cement Vs. Screw Retention

  Should I use cement or screw retention? Is the prevailing opinion in the restoration of dental implants moving in the direction of cement retention? If so, why?

    Read More and Comment  | 22 Comments »
 
• Best Approach for Internal Sinus Lifts?

  Dr. Jack asks:
  I would like to ask those out there who do routine implants around the maxilla region, what is the best approach to internal sinus lift? I have been to several courses but there are some variations and each with their own justification.

  One suggests drilling with pilot drill to 1mm short of the […]

    Read More and Comment  | 8 Comments »
 
• Malpositioned Dental Implant

  Dr. H. asks:Last night, I had inserted a fixture in right central incisor with diameter of 4.1 mm and 11 mm length. When I incised and reflect the flap I was confronted with a protruding crestal bone in the right central area because of malalignment of the extracted central.

  It was impossible to place the […]

    Read More and Comment  | 2 Comments »
 
• Flapless Implant Surgery

  Would flapless implant placement increase the acceptance of dental implant treatment plans with my patients? What are the pros and cons here?

    Read More and Comment  | 46 Comments »
 
• Implant Anchorage for Orthodontics

  Dr. Crenshaw asks us:
  I am a general dentist just getting into placing dental implants. I
  have been restoring cases for about five years.  I do a lot of
  orthodontic therapy on children and I am intrigued by the use of
  implants as anchors for orthodontics instead of having to band or
  bracket many teeth.

  I have seen some demonstrations […]

    Read More and Comment  | 1 Comment »
 
• Single Crowns or Bridges?

  Dr. Stevens asks: There are two basic schools of thought in replacing teeth with dental implants
  and crowns and bridges.   One approach is to replace each tooth with a dental
  implant and a crown.  The other approach is to use pontics and cantilevers. 

  What are the arguments both pro and con to each approach? Which one has […]

    Read More and Comment  | 4 Comments »
 
• Fixed Detachable Bridges

  Dr. Malik asks:
  I recently took a full day course in fixed dental implant prosthodontics. 
  What I
  was expecting was a course in dental implant-supported crowns and bridges.  What
  we
  actually had was a full day course in fixed-detachable (i.e., hybrid or
  high-water) bridges for the edentulous mandible.

  The prosthodontist
  giving
  the course has had great success with this design.  I have never […]

    Read More and Comment  | 6 Comments »
 
• CT Radiation

  Dr. Shwartz asks us:
  Does anyone have information regarding the radiation dossage you give to a patient when you routinely employ cat scans, including cone beam ones, to the treatment planning for dental implants?

  What is the comparative radiation between CAT procedures for dental implants and either panoramic or conventional dental x-rays. Do you think CAT procedures […]

    Read More and Comment  | 7 Comments »
 
• CollaTape

  Dr. Bernstein asks us:I use
  CollaTape if I don’t get primary closure, but I find it resorbs too quickly,
  and doesn’t contain the graft well.

  Do others find successful grafts
  with it?  Does the ridge look like a saddle (sunken) after 4 months or
  does the ridge look full?  Any suggested reading material?

    Read More and Comment  | 3 Comments »
 
• Dental Implant Trauma Case

  Dr. Blair asks us:
  I have a young man (28) that needs his upper two centrals removed due to trauma and we plan dental implants.

  The adjacent teeth are virgin and do not need to be restored. Comfortable and esthetic provisionals are always a struggle for cases  like this. I have used the Essix type of […]

    Read More and Comment  | 11 Comments »
 
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