Discussions on Treatment Planning & Complications

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.

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

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.

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

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?

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?

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

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.

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

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?

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?

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.

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

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?

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.

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

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

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.

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.

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

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.

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.

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

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

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