Discussions on Treatment Planning & Complications
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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).
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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…
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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?
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Treatment Approach for Overdentures?
I am also considering using just two dental implants in the canine areas to accomplish the same treatment objective.
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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.
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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?
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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?
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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?
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Broken Abutment
I have had two patients ‘break’ the abutment about half way down the dental implant.
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Implants Showing Thru Gingival Tissue
Dr. Mena asks:
I recently did a few immediate loading cases with root-formed
dental implants and composite resin temporization on titanium or zirconia
abutments.All of the cases had some kind of chronic infection prior to
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the extraction, which was the reason for the extractions. All cases
were treated with antibiotics after the extractions and dental implant
placement. The dental implant fixtures […]
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Dental Implants in the Interforamina Area
Dr. Fabrizio asks:
I have a case where the mandibular nerve exited the mental foramen, but seems to continue mesially and connects with the
controlateral nerve in the incisor region.The patient will be
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edentulous and I am planning to place dental implants in the interforamina
area. I am wondering what are the consequences of invading the anterior
portion of the […]
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Full Arch Overdenture or Free-Standing Implants?
My surgeon recommends a full arch bar overdenture, however, the attachment manufacturer says that all I need is 4 free-standing dental implants…
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Internal Vs. External Hex?
Dr. Kimbrow asks:
I know quite a few dentists who continue to use dental implants with an external hex.However, now that the internal connection dental implants have been out for awhile, is
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there any great advantage to using external hex? What are the issues here, on both sides? Why would you choose external over internal or […]
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Dental Implant in Fresh Socket
Dr. Taylor asks:
When placing a dental implant into a fresh socket, and there isn’t complete fill of the residual socket by the dental implant, would you fill the space with a bone graft and a membrane, or just use a membrane?Also, how would your dental implant treatment plan differ if you wanted to provide […]
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High Water Hybrid
Dr. C. asks:
I am restoring an edentulous mandible. Originally I treatment planned for five 4.0×10 mm dental implants between the mental foramens. Because of bone quality, I could only place five 3.25×10 dental implants.I plan to insert an FP3 (crowns with pink gingival) and use a UCLA type
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attachment where I could screw the bridge […]
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Immediate Insertion for Teeth with Periapical Infections?
Joel, a dentist from Rochester, asks:I am doing an immediate insertion maxillary complete denture after extracting several non-restorable teeth with periapical infections.
After the infections have resolved and the areas have healed, I am
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going to place 4 dental implants in #4, 6, 11, 13 areas to support a maxillary
overdenture. My protocol is to extract the […]
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Maxillary Canine Implant
Dr. Reno, a dentist, asks:To replace a maxillary canine, I create a progressive anterior disclussion involving the maxillary lateral incisor and first premolar prior to the fabrication of the crown for the canine.
This enables the technician to build the maxillary canine crown into a pre-determined progressive anterior disclussion. If I cannot use the lateral […]
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Cost of Dental Implants
Jannete, a patient from Texas, asks us:
I’m 33 year old female with a top denture and teeth on the bottom that need to be removed. I would like to get dental implants but I am worried about the cost, as my insurance company will not pay for them.I would love to be able to smile […]
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Dental Implant Perforation
Dr. Steinberg asks:
I just started placing dental implants. I took courses for 5 years before I felt confident to place an dental implant on my own. The only area I feel I really need to master is using CT scans for treatment planning since I had the following disaster.Here is what happened: I was […]
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Dental Implant Malpractice Worries?
What do I do now? Should I involve my insurance company at this point, or wait to see if there are changes? Would it be malpractice if I don’t refer her to an oral surgeon now, or, because waiting is the only option now, that would just be pushing her into fear and into antagonism which she doesn’t have yet?
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Looking to Join a Tri-State Dental Practice
Christine L. Yoon, DMD, recently completed her General Practice Residency Program at Long Island Jewish Medical Center. Prior to that, she graduated from the School of Dental Medicine at the University of Connecticut. She is prepared to meet the highest standards required in a private practice and is looking to join an energetic general dentistry […]
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Is Immediate Functional Loading Too Risky?
The adoption of immediate functional loading (IFL) has been sluggish because of practitioners’ fears of implant complications and failure.
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Choosing a Dental Implant System
If I am only going to do a small number of dental implants, how do I decide which dental implant system to use?
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Dental Implants in the Upper Jaw
Greg, a patient, asks us:I suffered the loss of the entire roof of my
Mouth, Maxilla, Upper Jaw, and teeth. This was all caused by an auto
accident thirty years ago in which a drunk driver hit the vehicle I was in
head on.Currently I am wearing and have been fitted with a Prosthesis
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that looks like a […]
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Dental Implant After Extraction
Ann, a patient, asks us:I recently had tooth 31 extracted after it cracked. My periodontist suggests a dental implant and says that I’ll have problems with the tooth above if I don’t. I don’t want one: It is expensive, and seems like a big ordeal.
I know that
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there are possible problems. My dentist thinks that a […]
| 13 Comments »
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