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Discussions on Treatment Planning & Complications

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

Recent Treatment Planning & Complications Discussions

• CTX Test: Guidelines for Use in Treatment Planning for Implants?

  Where can I find more information about the CTX Test and guidelines for use in diagnosing and treatment planning patients for implants?

    Read More and Comment  | 6 Comments »
 
• Metal Abutment Exposed on Implant: What Are The Best Options?

  The gingival has receded slightly and the metal abutment is showing. Also there has been a graying of the gingival tissue on the labial of the implant. I am considering options.

    Read More and Comment  | 5 Comments »
 
• Large Calculus Deposits on Dental Implants: How to Manage?

  Is there anything else I can do to reduce the deposition of calculus on the dental implants?

    Read More and Comment  | 9 Comments »
 
• Placing Implants: How Should I Lay the Flap to Avoid Cutting the Mental Foramen?

  I have a case now where I have to place implants bilaterally in the mandibular first and second premolar areas. How should I lay the full thickness flap to gain maximum exposure and visibility and avoid cutting the mental foramen loop?

    Read More and Comment  | 30 Comments »
 
• Missing Lower First Molar and Second Premolar: One Implant or Two?

  I have a patient missing the lower left first molar and second premolar. Should I use one or two implants? What is the correct treatment plan?

    Read More and Comment  | 19 Comments »
 
• Implant Lost in Sinus: What to Do?

  Today in the dental clinic an orthodontic implant was lost in the sinus. We went in and tried to locate it.

    Read More and Comment  | 33 Comments »
 
• Attached Gingival on Left and Alveolar Mucosa on Right: Proper Technique?

  I have just placed 2 Ankylos dental implants at the subcrestal postion in the mandible at the canine positions. On the left side there is 1mm attached gingival and on the right there is no attached gingival – just alveolar mucosa.

    Read More and Comment  | 12 Comments »
 
• Perforated the Lingual Cortical Plate: Expect Complications?

  While placing a dental implant fixture in #19 area I perforated the lingual cortical plate. Should I expect complications in osseointegration? Advice?

    Read More and Comment  | 28 Comments »
 
• Drilled Too Deep when Preparing Hole for Implant Insertion: Should I Be Concerned?

  When I finished preparing a the hole for the dental implant insertion, I found that I had drilled 2mm too deep. I am concerned that it is a potential source of blood pooling which might lead to infection. Need I be concerned?

    Read More and Comment  | 22 Comments »
 
• Drilling Hole for Implant Fixture: Proper Handpiece Settings?

  My question is with a 32:1 contra-angle, what should my handpiece settings be in terms of speed (rpm) and torque when I am drilling a hole for the implant fixture?

    Read More and Comment  | 15 Comments »
 
• Precautions to Take To Avoid Hitting Blood Vessel During Implant Surgery?

  I need to place two conventional dental implants in the mandibular anterior region to the right and left of the midline. On analyzing a Cone Beam Volumetric Scan, I noted a large blood vessel just a few millimeters inferior and lingual to where I need to place the implants.

    Read More and Comment  | 25 Comments »
 
• Establishing Medical Necessity for Dental Implants for Insurance?

  Apparently the insurance company will pay for dental implants if I can establish that there is a medical necessity for the dental implants.

    Read More and Comment  | 9 Comments »
 
• Position of Mental Foramen Nerve and Vulnerability to Damage During Surgery?

  Is it possible for the nerve to be positioned over the alveolar ridge crest, under keratinized tissue, thus being vulnerable to damage during a mid-crestal incision for surgery?

    Read More and Comment  | 8 Comments »
 
• Replacing Maxillary Second Molars in Patient with Bruxism?

  I have a Type I diabetic patient who has lost one of his legs due to vascular compromises from the diabetes. He also has a severe bruxing problem and has lost several teeth due to fracture. We have done a fair number of root canals and crowns on him.

    Read More and Comment  | 4 Comments »
 
• A Universal Torque Wrench System?

  I have to use 5 different dental implant systems because each of my periodontists and oral surgeons each insist on using different implant systems.

    Read More and Comment  | 16 Comments »
 
• Thyroidectomy: Precautions to Take Before Placing Implants?

  I have a patient who recently had his thyroid removed because it was cancerous. He is scheduled for placement of 2 dental implants.

    Read More and Comment  | 4 Comments »
 
• Exposure of Membrane: Why?

  One of the problems I am having is that when the patient returns for post-operative follow-up, they have the membrane over the graft site exposed.

    Read More and Comment  | 21 Comments »
 
• Can Dental Implants Cause Sarcoma?

  The authors of a recent article in the ADA journal report on a case of osteosarcoma that might potentially have been caused by a dental implant.

    Read More and Comment  | 25 Comments »
 
• Advice for Complication in Creation and Maintenance of an Interproximal Papilla?

  I am seeking advice for a complication in the creation and maintenance of an interproximal papilla between #7 and 8, an aesthetically demanding site.

    Read More and Comment  | 26 Comments »
 
• No Attached Keratinized Tissue Around Implants: Recommendations?

  Problem is there is no attached keratinized tissue around one of the implants and the non-keratinized loose tissue keeps on growing over the Locator attachments causing much discomfort to the patient.

    Read More and Comment  | 11 Comments »
 
• Bucco-Lingual Resorption Exposing the Threads on Implants: How to Manage?

  But when I examined the patient at 6 months post-op, the alveolar ridge had undergone 4mm of bucco-lingual resorption exposing the threads on both dental implants.

    Read More and Comment  | 26 Comments »
 
• Small Bone Dehiscence from Collar of Implant Cover Screw: Next Steps?

  Clinically, the dental implant is stable, it is not sensitive to percussion and appears to have good soft tissue health excluding the dehisced area

    Read More and Comment  | 4 Comments »
 
• Treatment Plan for Breast Cancer Patient?

  I need to know whether a current breast cancer patient is a good case for bone graft, immediate implant with immediate temporary bridge.

    Read More and Comment  | 8 Comments »
 
• Implant with Sinus Tract: How Would You Approach This?

  Soft tissue looks normal and with adequate volume, however, about 4mm coronal to the gingival margin there is a sinus tract.

    Read More and Comment  | 10 Comments »
 
• Inadequate Bone Height: Elevate Maxillary Sinus Membrane During Implant Placement?

  Is it necessary to elevate the maxillary sinus membrane during placement of implants through the floor of the sinus when there is inadequate bone height?

    Read More and Comment  | 32 Comments »
 
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