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Which is the Culprit: Natural Tooth or Implant?

Which is the Culprit: Natural Tooth or Implant?

I’m a 30-year old female patient with no remarkable health history, apart from some livelong food allergies, hay fever and other heavy…

EthOss in Socket Preservation?

EthOss in Socket Preservation?

Our case involved FDI 13 extracted, the thin ankylosed buccal plate came out with the root, and the whole socket and buccal defect was…

Immediate implant failure: thoughts?

Immediate implant failure: thoughts?

This case involved a 47 year old healthy male, fractured virgin #4 was atraumatically removed. A Biohorizons tapered implant was placed…

Indications for Lingual Frenectomy?

Indications for Lingual Frenectomy?

Patient requires bone augmentation prior to implant placement. Possible need for frenectomy to improve outcome. What are the indications for…

Missing Lower First Molar: Minimal Space?

Missing Lower First Molar: Minimal Space?

Lower first molar missing. Vertical space is minimal. 1 or 2 implants, with or without grafting? What are your recommendations? lower first…

Narrow space for implants?

Narrow space for implants?

I have treatment planned a patient for implants to replace # 24 and 25. There does not appear to be adequate mesiodistal space for…

Mandibular Nerve Damage from Extraction

Mandibular Nerve Damage from Extraction

On 09/28 I surgically removed impacted wisdom tooth # 17. After about 1 week, the patient came back for evaluation and indicated that he…

Thoughts On Surgical Irrigation And Topical Antibiotics for Treatment of Ailing Implants

Thoughts On Surgical Irrigation And Topical Antibiotics for Treatment of Ailing Implants

About 6 month ago otherwise healthy patient who underwent immediate placement/temporazation of implant in the central incisor area #8 with…

Best prosthetic option in this situation?

Best prosthetic option in this situation?

A 50 year male patient with no medical history presented for a failing maxillary bridge. I had no choice other than extractions. Before…

Is 3D Cone Beam now the standard of care for implants?

Is 3D Cone Beam now the standard of care for implants?

I have an ongoing argument with a younger dentist about standard of care. I told him I have been doing dental implants for many years and PA…

Immediate implants and retained over-denture: advice?

Immediate implants and retained over-denture: advice?

Pt presents with unrestorable fractured anterior (8-11) maxillary bridge and wishes to extract remaining teeth and have maxillary denture…

Crestal vs Lateral Sinus Lift?

Crestal vs Lateral Sinus Lift?

This case involves a 47-year old healthy female who wants an implant in the #3 area. Consideration is between crestal vs lateral sinus lift…

Retrieval of fractured Bicon implant abutment?

Retrieval of fractured Bicon implant abutment?

Hello colleagues! First, I wish you all well and hope that everyone is weathering this uncertainty. I’m confident we will get through this…

Alveoloplasty for full arch rehabilitations?

Alveoloplasty for full arch rehabilitations?

When we are doing full arch rehabilitation, how much of Alveoloplasty should we do? I know we have reduce the bone to hide the transition…

Ocrelizumab: External Resorption and Implant Treatment?

Ocrelizumab: External Resorption and Implant Treatment?

I have two patients who have been taking ocrelizumab infusions who have developed medication induced osteonecrosis of the jaw. I have a…

Severe bone loss 10 years after placement: advice?

Severe bone loss 10 years after placement: advice?

I placed this implant about 10 years ago. It was at a different office. About 2 years ago the patient started coming to my practice for…

Positioning and deep implant: thoughts?

Positioning and deep implant: thoughts?

I have a 30 year old female patient in good health. I recently placed the 4 implants that you see. The implant in 24 site is like a deep…

Identify implants placed in Syria?

Identify implants placed in Syria?

These two implants at #29 and 31 were placed in Syria over 10 years ago. The patient fled the country and has no way of knowing how to get…

Placement of total removable denture: suggestions?

Placement of total removable denture: suggestions?

I have placed 5 implants in the mandible in a female patient, 75 years old. Using BioGide and BioOss I have made a buccal addition on…

Implant #8 area: suggestions grafting?

Implant #8 area: suggestions grafting?

My patient desires an implant for #8. Facial plate is present, but there is obvious defect (canal) on lingual. Suggestions on bone grafting…

Re-torquing implant crowns or abutments?

Re-torquing implant crowns or abutments?

I work with an owner dentist who is convinced that a week after an implant crown is delivered, the patient needs to come back to have it re…

Extraction, Implant Removal, & Grafting: Using PRF, Sticky Bone & Waterlase iPlus

Extraction, Implant Removal, & Grafting: Using PRF, Sticky Bone & Waterlase iPlus

This a 77 year-old patient who was on blood thinners and had to have #6, and #8 removed as they were both unrestorable. We also had to…

Proposed treatment plan for Hahn dental implant?

Proposed treatment plan for Hahn dental implant?

This treatment plan is proposed by a lab for #19. It’s a Hahn implant 5.0x8mm. Is it too deep? Do you see any potential problem restoring it…

Final impression after immediate dental implants placed too deep: options?

Final impression after immediate dental implants placed too deep: options?

I extracted molar tooth #3 instead of planned tooth #2. I placed an implant 3wks after using L-PRF/DFDBA. Two months later, the patient…

Resorbing graft over implant after 4 months: thoughts?

Resorbing graft over implant after 4 months: thoughts?

I placed an implant with buccal graft covered by non-PTFE membrane and buried it 4 months ago. Graft thickness according to CBCT was 2.3mm…

Tenting: Simple Predictable Approach to Graft for Width

Tenting: Simple Predictable Approach to Graft for Width

I travel to different offices doing implants and wisdom teeth. It’s common to review a CBCT of an implant candidate and find adequate height…

Can an implant be done 20 days after of tooth avulsion?

Can an implant be done 20 days after of tooth avulsion?

My patient presented with a maxillary lateral incisor #10 that was avulsed 20 days ago due to intubation. Patient is a 27 years old female…

Have coated dental implants fallen out of favor?

Have coated dental implants fallen out of favor?

I wanted to get peoples’ thoughts and experience on what they are using regarding implant coatings these days. Until very recently, I was…

Endo treated root in the sinus: Precautions for implant?

Endo treated root in the sinus: Precautions for implant?

A 27 year old patient presented with excellent oral hygiene and wants an implant supported replacement for the upper right first molar. The…

Moderate surgery with Patient on Brilinta?

Moderate surgery with Patient on Brilinta?

I have a 67 year old male patient with history of MI and cardiac stents replaced 2 years ago. Patient is taking Brilinta and aspirin along…

Immediate vs Delayed Implant Placement?

Immediate vs Delayed Implant Placement?

I have a 45-year old male patient, non-smoker, with clear medical history. He has a non-restorable 21 (or #9). The patient has deep bite and…

Graft and Implant in One Step or Graft and Wait?

Graft and Implant in One Step or Graft and Wait?

I have a 35-year old female patient missing #9. She is wearing bridge #8,9,10. Bridge has debonded multiple times. Treatment plan is to…

Can I Go for Single Molar Replacement on either side?

Can I Go for Single Molar Replacement on either side?

This is a case for mandibular molar replacements on either side, by Ankylos 3.5mm, as bone width is restrictive. Second molar can’t be…

Warping of Biohorizon Secure OD Implant Housing and Inserts?

Warping of Biohorizon Secure OD Implant Housing and Inserts?

Has anyone experienced warping of the BioHorizon OD Secure nylon inserts in overdenture cases during insertion of either maxillary or…

Thick sinus mucosa: best approach?

Thick sinus mucosa: best approach?

I’ m concerned about sinus finding looking like thick mucosa or sinus polyp. Patient has no symptoms. What is your experience in such cases…

Fixed restoration of the upper anterior jaw

Fixed restoration of the upper anterior jaw

A 50-year old female patient presented for a fixed restoration of the upper anterior jaw. During the examination it was decided to stage the…

Hopeless Dentition?

Hopeless Dentition?

Based on the comments I am seeing I suppose many of you would consider this a hopeless dentition, thus requiring full mouth implant…

All on 4, Implant supported denture, sinus lift?

All on 4, Implant supported denture, sinus lift?

This is a 51 year old male, with obvious severe problems. Would like some opinions on where to go with this. The maxilla will need full arch…

Would you graft this case or place deeper?

Would you graft this case or place deeper?

I have this patient with good medical history, in need of a single implant in the lower left first molar site. He has enough bone apically…

Prosthesis for deep implants after immediate extraction: comments?

Prosthesis for deep implants after immediate extraction: comments?

This was an extraction with immediate implant placement case. I had width of 6.5mm so I had to go for a 4.2mm diameter implant which was the…

Abutment not engaging the fixture: options?

Abutment not engaging the fixture: options?

An Equinox implant (part of the Straumann Group) 3.3×11.5 was placed in 11 site. At second stage after 4 months, the abutment screw would…

How to prepare sticky bone with PRF?

How to prepare sticky bone with PRF?

Can someone please explain how sticky bone is prepared? Is the bone graft mixed with the PRF from the yellow tubes? So would you typically…

Implants during pregnancy: contra-indications?

Implants during pregnancy: contra-indications?

Are there any known contra-indications to placing implants during pregnancy? Although generally we avoid “elective” procedures during…

Is an overdenture made to a splinted bar really a superior restoration?

Is an overdenture made to a splinted bar really a superior restoration?

Creating cast bars for overdentures increases the complexity, the cost and the maintenance dramatically. Is the benefit provided by a joined…

Necrosis of Gum with Bone Exposure: How to Manage?

Necrosis of Gum with Bone Exposure: How to Manage?

My patient is a 60 year-old male with controlled diabetes, smoker (15 sticks a day). On 12/14/19, I surgically installed 3-implants in the…

Thoughts on Implant Placement In Atrophic Mandibular Ridge?

Thoughts on Implant Placement In Atrophic Mandibular Ridge?

Otherwise healthy 70 year old female patient, non-smoker, presented with severe case of peri-implantitis in area of #27. The implant was…

Exposed microthreads: prognosis for this case?

Exposed microthreads: prognosis for this case?

This 60 year old female patient had an implant installed into #4 site [maxillary right second; 15]. The case was planned with Simplant…

Unable to seat Hiossen Impression Coping: Recommendations?

Unable to seat Hiossen Impression Coping: Recommendations?

Any Hiossen users out there? I tried seating my impression coping on 4.5mm diameter Hiossen implant but couldn’t get it to seat all the way…

Implant displaces into sinus: best line of treatment?

Implant displaces into sinus: best line of treatment?

An implant was displaced into the sinus. What would be the best line of treatment? 1. Prescribe antibiotics and wait and observe? 2 . Do…

Sinus lift with partition management?

Sinus lift with partition management?

What are your recommendations to graft this sinus after the extraction and the infection is cleared up?

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