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Advanced local bone loss around abutment tooth: opinions?

Advanced local bone loss around abutment tooth: opinions?

This patient presented to my office about a month ago for an unrelated problem. After taking care of that, he came in for a routine exam…

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?

Best Drill Stops?

Best Drill Stops?

I normally use guided surgery. I have an implant planned for #31. There is not enough vertical height to allow for a guide. I have looked at…

Gum recession around implant abutment: recommendations?

Gum recession around implant abutment: recommendations?

7 months ago, I inserted a fixed cement-retained 6-unit bridge replacing upper six anterior teeth over 4 implants. Recently, I noticed gum…

Immediate Implant Pain and Mobile Crown: Recommendations?

Immediate Implant Pain and Mobile Crown: Recommendations?

I did an immediate implant in tooth #5 in June this year and started rehabilitation in mid-November 2019. Everything was fine until I loaded…

Perforated the lingual cortical plate: protocol?

Perforated the lingual cortical plate: protocol?

I placed 3 implants in the lower anterior region. The last implant in the third quadrant in #22 site felt like it perforated the lingual…

Place Implants at Mandibular Interforaminal region in this case?

Place Implants at Mandibular Interforaminal region in this case?

I am new to this forum. I am attaching CBCT image of a patient. I am planning to place 4 implants in the mandibular interforaminal region…

Narrow ridge Straumann implant placement: thoughts?

Narrow ridge Straumann implant placement: thoughts?

I am planning to place 3.3mm Straumann Narrow Neck CrossFit implants in UL1 UL2 sites. The ridge is rather narrow so I am thinking if Versah…

Manage gingival and bony fenestration in 8-year old implant?

Manage gingival and bony fenestration in 8-year old implant?

I am a periodontist and I did not place this implant. This patient presented with a gingival fenestration on the buccal of this 8 year old…

Radiolucency adjacent to implant: thoughts?

Radiolucency adjacent to implant: thoughts?

This patient is a healthy 30 yr old male who had this implant placed due to congenitally missing left mandibular second bicuspid. The…

Dental implant surgery with multiple systemic disorders and oral bisphosphonates?

Dental implant surgery with multiple systemic disorders and oral bisphosphonates?

CC: A 65 years old female patient has consulted to our department for the treatment of her fractured dental implant. HPI: Her first dental…

How to ID and Treat Vintage Style Implant?

How to ID and Treat Vintage Style Implant?

I was wondering if someone could give me some advice on how to treat this case. A 70 year old female patient otherwise healthy, non-smoker…

Short implant vs. Sinus Lift?

Short implant vs. Sinus Lift?

63 y/o female patient wants implant to replace missing tooth #14. CBCT shows low bone height, but enough to place a 6mm implant. Pictures…

Numbness and Nerve Injuries after Implant Placement?

Numbness and Nerve Injuries after Implant Placement?

I placed 4 implants in a fully edentulous mandibular arch in sites 46, 43, 33, 36 on 18 oct 2019. During the implant osteotomy at site 3…

Telescopic crown on Prettau bridge: better solution?

Telescopic crown on Prettau bridge: better solution?

I have a patient with a maxillary Prettau bridge that has a telescopic crown in area #7 (right lateral incisor). There is a screw access…

Implant Supported Bridge vs Apicoectomy?

Implant Supported Bridge vs Apicoectomy?

Note: Question below is from a patient. I am a 45-year old male. I have gone to a few initial consultations to help decide on the best…

Autogenous bone graft after tenting?

Autogenous bone graft after tenting?

I posted a tenting case question a couple months ago (See: Tenting screws at grafting site: advice?) and it did fine so this is a follow up…

Fractured non-restorable tooth extraction and periapical lesion: advice?

Fractured non-restorable tooth extraction and periapical lesion: advice?

A 69 y.o female patient has a fractured non-restorable tooth #31. CBCT was taken and periapical lesion was noted close to IA canal. My plan…

Identify Implants and Explain Prosthetics?

Identify Implants and Explain Prosthetics?

This patient presented to my office two and one half years post implant placement and post-prosthetic placement. The patient states that she…

PTFE membrane has come off: recommendations?

PTFE membrane has come off: recommendations?

My patient is a middle aged woman with bifurcation involved lower molar and slight periapical radiolucent. Socket was well curettaged before…

Should I remove these implants?

Should I remove these implants?

Attached is x-ray 5 months after implant placement of lower anteriors #23 and #26. Also included are pre-operative CT scans. Very narrow…

Immunodeficiency and Implant Placement?

Immunodeficiency and Implant Placement?

I have a 43 yr old female patient who was referred to me for dental implant placement of tooth 22 (#10). She appeared as an attractive…

External Resorption Maxillary Anterior Teeth and Replacement: Thoughts?

External Resorption Maxillary Anterior Teeth and Replacement: Thoughts?

This patient is a 26 year old female who presented with a CC of “My front teeth are loose and my gum is swollen.” She has clinically short…

Removal of a Titanium Implant with Peri-Implant Disease and Replacement with Ceramic Zeramex XT Implant

Removal of a Titanium Implant with Peri-Implant Disease and Replacement with Ceramic Zeramex XT Implant

This case involves a 30 y/o female with history of severe ulcerative colitis. For the last 1.5 years, she has experienced: periodic fever…

Locator abutments height: thoughts?

Locator abutments height: thoughts?

This patient presented to my office with a history of multiple lower denture fracture. Would the height of the abutment exposed in the mouth…

Loose abutment screw on unknown implant?

Loose abutment screw on unknown implant?

I have been sent a patient with a loose abutment screw on the distal implant (tooth 46). The implant is over 10-years old – placed in the UK…

All on 6 Maxillary Implant Case: Mix Attachments?

All on 6 Maxillary Implant Case: Mix Attachments?

I have an All-on-6 maxillary implant case. The anterior two implants are directly beneath the location of the anterior teeth, making screw…

Dental Titanium Implants and Chronic Inflammation

Dental Titanium Implants and Chronic Inflammation

I am trying to provide the best service to our patients, while also doing what is good for their overall health. What do the experts here…

Delayed Bone Resorption around Uncovered Implants?

Delayed Bone Resorption around Uncovered Implants?

I had placed 3 single dental implants in three different patients with no contributing medical history. All implants are placed in the…

Badly placed implants: suggestions for repair?

Badly placed implants: suggestions for repair?

This is a female patient, 63 yrs of age, height 4.5 ft. She complains of bone loss around implants and overdenture with clips not fitting…

Aggressive Periodontitis Treatment Plan: Flap surgery, Emdogain, and Grafting?

Aggressive Periodontitis Treatment Plan: Flap surgery, Emdogain, and Grafting?

Editor Note: The question below was submitted by a patient. Please see the x-ray at the bottom of this post. I am a 35-year old, male, and…

Implants Placed too Lingually: Prognosis?

Implants Placed too Lingually: Prognosis?

This is my 3rd implant case. Did all the diagnostics and treatment plan as I did for the first two. 2 implants of same size 4.2*11.5 in 3…

Tenting screws at grafting site: advice?

Tenting screws at grafting site: advice?

I have a six implant maxillary over-denture case. The plan is to build up a ridge deficiency at one site. I flapped and placed a 10 mm…

All on 4: Implant abutment misfit?

All on 4: Implant abutment misfit?

This is my first All on 4 case with guided template done flapless. I had difficulty while screwing the distal implant multiunit abutment but…

Splinted Crown due to Narrow Space: Hygiene?

Splinted Crown due to Narrow Space: Hygiene?

Editor Note: The question below was submitted by a patient. I am a patient. Two different dentists told me it is possible to lose the…

Hopeless/Non-Restorable #8: 33 months post restoration

Hopeless/Non-Restorable #8: 33 months post restoration

I originally posted this case a while back and due to my decision to save the tooth via crown lengthening rather than extract/implant, many…

Essix vs Valplast Single Tooth Temp?

Essix vs Valplast Single Tooth Temp?

I have a simple question. I am removing #8 due to severe facial bone loss. I will graft and place membrane. My question is what temporary…

Favorite size implant for overdenture?

Favorite size implant for overdenture?

I would like to know what everyone’s go-to implant is for an overdenture. I know it depends on bone, but what is the minimum diameter/length…

Implant placed too subcrestally: advice?

Implant placed too subcrestally: advice?

It was supposed to be a simple new case. During the procedure I extracted 45, 46t and placed an implant (Megagen 5x10mm) in 46t bifurcation…

Implants compatible with Astra TX S system?

Implants compatible with Astra TX S system?

I use primarily Dentspy Sirona Astratech TX S straight dental implants. They are Expensive. I’m looking for 3rd party implants that are…

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