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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

• Lateral Incisors Orthodontically Treated: Chance of Implant Failure?

  I have to place a dental implant in the anterior mandibular region to replace a lower central incisor which is congenitally missing.

    Read More and Comment  | 6 Comments »
 
• Astra Implant Rotated after Retorquing: Prognosis?

  When I was retorquing the abutment on #18 and towards the end of the torque (25N/cm2), the implant rotated with the abutment about 1/8 to 1/4 circle.

    Read More and Comment  | 19 Comments »
 
• Dental Implant Micromovement

  I recently attended a lecture where the idea of micromovement of the abutment / implant interface under load created a micropump of fluid movement that contributed to bone loss.

    Read More and Comment  | 16 Comments »
 
• Implant Somewhat Deep: Should I Reduce Gingival Thickness?

  Upon flap elevation I noted that although ridge width was well maintained, there was minor vertical height loss (approx 2-3 mm dip below adjacent teeth CEJ’s). I placed the platform of the dental implant at this level.

    Read More and Comment  | 4 Comments »
 
• Retained Root Tip: Should I Expect Complications?

  I treatment planned a patient for a wide platform dental implant in the mandible to replace a second molar. Near the projected implant site, there was a 3mm long root tip left from a prior extraction I did 3 months prior.

    Read More and Comment  | 12 Comments »
 
• Implant Threads Exposed: How to Handle?

  In one of my first cases, shortly after placement, 3-4 threads of the implant on the buccal side became exposed. The implant has good primary stability.

    Read More and Comment  | 22 Comments »
 
• Fractured Screw: What Are My Chances?

  I am an Australian dentist. I recently went to place a screw retained abutment and cement retained crown on the upper right premolar. The surgeon had placed a Branemark narrow platform 15mm length dental implant.

    Read More and Comment  | 6 Comments »
 
• Implants in Young Patient: Will This Prevent Full Growth of Maxilla?

  I have a 14 year old male who lost all four of his maxillary incisors in a car accident. I would like to place dental implants in the maxillary alveolar ridge and would like to use them to support a bridge.

    Read More and Comment  | 14 Comments »
 
• No Cortical Bone: What’s the Prognosis?

  I laid a full thickness flap to place a dental implant in the maxillary canine area. The buccal and lingual cortical plates were healthy and sound. But at the height of the alveolar crest, the bone was cancellous without a cortical bone outer surface. I filled the defect with Dyna putty graft material.

    Read More and Comment  | 8 Comments »
 
• Trouble Getting Primary Stability

  I have been having trouble getting good primary stability when I place dental implant fixtures. In order to increase stability, I have been using ligature wire to splint the implant fixtures to the adjacent teeth.

    Read More and Comment  | 23 Comments »
 
• Fracture of Buccal Cortical Plate: What To Expect?

  After placing a 5×13mm dental implant in the maxillary canine area, I detected a hairline fracture in the buccal cortical plate.

    Read More and Comment  | 13 Comments »
 
• Exposure of Graft: How to Manage?

  I have performed a bone block graft from the ramus on the anterior maxilla for future dental implant placement. During healing I had a small fenestration of the flap and exposure of the graft.

    Read More and Comment  | 10 Comments »
 
• Implants Following Radiation Treatment?

  I am going to place dental implants in the mandible. The patient had radiation treatment for cancer therapy 20 years ago. Is it safe now for me to place the dental implants?

    Read More and Comment  | 25 Comments »
 
• Patient with Paresthesia: What’s the Proper Treatment Plan?

  Three months ago, I extracted #18 and immediately placed and replaced it with an ITI TE wide body with Bio-Oss graft and collagen membrane. I achieved primary closure. I prescribed Amoxicillin after the procedure. Paresthesia was present for two days post- operatively.

    Read More and Comment  | 26 Comments »
 
• Periodontal Surgery after Implant Placement?

  I placed dental implants in the region of maxillary molar and canine region around 2 months back. Now our periodontist suggests a full mouth gum surgery

    Read More and Comment  | 69 Comments »
 
• Fixed-Detachable Denture: 8 or 6 Implants?

  I have recently seen many clinicians placing only 6 dental implants in the edentulous maxilla for this type of restoration…

    Read More and Comment  | 5 Comments »
 
• Peri-Implantitis : Any Solutions?

  This is the first case I have done where I placed the dental implant on the day I extracted the tooth. This was in #14 area (Maxillary Left First Molar).

    Read More and Comment  | 22 Comments »
 
• Dental Implants and Laryngeal Cancer

  I have a 52 year old male patient with a history of laryngeal cancer (removed 3 years ago + radiotherapy) who needs 7 dental implants…

    Read More and Comment  | 4 Comments »
 
• Ehlers-Danlos Syndrome: Treatment Plan for Dental Implants?

  Has anyone had any experiences with treating patients with Ehlers-Danlos Syndrome with dental implants? Were you able to find any references?

    Read More and Comment  | 4 Comments »
 
• Treatment Approach for Overdentures?

  I am also considering using just two dental implants in the canine areas to accomplish the same treatment objective.

    Read More and Comment  | 6 Comments »
 
• Dental Implants in a Transplant Patient?

  Patient has received organ transplants of the kidney and pancreas. Patient also has a very low salivary output and is xerostomic due to the multiple drugs that are taken daily to support the organ transplants.

    Read More and Comment  | 1 Comment »
 
• Dental Implants in Infected Sites

  I have been getting some mixed messages about how to deal with dental implant sites that have frank signs of infection. In the past, when I had to extract a tooth with a chronic periapical infection, I would wait about 3 months before placing the dental implant. Am I being too conservative?

    Read More and Comment  | 12 Comments »
 
• Bacterial Colonization Around the Micro-Gap?

  I have been hearing a great deal about the problem of bacteria colonizing around the micro-gap between the dental implant fixture and the abutment. Is this a real problem to be concerned with?

    Read More and Comment  | 79 Comments »
 
• Controlling Pain After Implant Placement

  What do you usually prescribe for patients to control their pain after dental implant placement and what do you prescribe to decrease swelling?

    Read More and Comment  | 95 Comments »
 
• Broken Abutment

  I have had two patients ‘break’ the abutment about half way down the dental implant.

    Read More and Comment  | 11 Comments »
 
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