Treatment Planning & Complications

Discussions related to Dental Implant Treatment Planning & Complications

 

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.

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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.

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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.

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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?

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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.

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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.

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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. 

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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.

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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.

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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. 

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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.

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Dental Implants and Transplant Patients

Dan, a prospective dental implant patient, asks us: I am three years post-liver transplantation.  I am on Immunosuppressant therapy.

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Dental Implant Costs

Eric, a prospective dental implant patient, asks us: I live in New York City. What is the typical/average cost of a complete dental implant procedure (implant and crown) for one tooth in my location?

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Dental Implants and Smoking

Dr. Jonas asks us:I recently had a patient come in for a dental implant consultation. This patient is a smoker.

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Damaged Hex on Dental Implant

Dr. Levitt asks:I’d like to discuss the removal of a dental implant with a damaged hex.

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Resorbed Alveolar Ridge

Dr. Kaplan asks, I have a patient with a severely resorbed alveolar ridge.  The only bone left is in the mandibular anterior region.

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Removing Abutment Screws

Dr. Marcus asks us:Does anyone know the best way to remove abutment screws that have broken off of the dental implant?

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Mandibular Bar Overdenture

Dr. Larson asks: I have just inherited a new patient with a mandibular bar overdenture supported by 2 dental implants in the #22, 27 areas. The bar is slightly curved so that the 2 Hader clips are each slightly canted to the right and left.

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Bone Loss to the Third Thread

Dr. Marcus asks us: One of my patients has had 5 maxillary 3i dental implant fixtures placed by a periodontist. On checking for the seat of the dental implant abutments, I noted that the 3 anterior fixtures have bone loss, already down to the third thread. 

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