Dentist Q&A

Questions and Answers about Dental Implants and Advanced Clinical Dentistry

coxsakie

A patient presented in my office with an implant replacing a lower second molar.on the lingual sides there were 3 threads visible. I want to polish it and give it a smooth surface for perio-health issues.Any idead on what polishing kit should i use for optimum results on the titanium surface? thx

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Dr. Barbie

I typically what 4-6 months before letting my restorative dentist restore the implants. What is the besr way to determine if the Implants are Osseointegrated and ready to be restored?

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Dr. Barbie

What is the course of treatment these days for ailing/failing implants. If surgery and regrafting the way to go what is the best way to detox the implant to increase success.

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RJKellyDMD

I have a patient with missing molars on the right side of the maxilla. I did a Cone Beam CT I discovered a lesion that looks mucous retention cyst.
The lesion occupies over 40% of the right maxillary sinus. I referred the patient for surgical removal of the lesion with ENT specialist. The ENT refused to do the surgery. He stated that according to ENT guidelines this kind of lesion does not require any treatment if asymptomatic, and that success of sinus graft will be decreased due to this lesion. He reommended not doing the implant.
What should I do?

(5)
sohail

I had this patient come in with a fractured implant #30.
I have not had much experience removing broken implant fixtures. I will eventually replace this with a new implant fixture. How do I get the implant out without destroying the buccal cortical plate?
Do I trephine it out? Should I replace it immediately with another implant and bone graft or should I bone graft and allow the site to heal first? What kind of bone graft would you recommend

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Ptery

I want to offer laser periodontal treatment in my office. I saw some info on LANAP. This looks like it is pretty easy to do.

What do periodontists think of this treatment? Which laser are you using?

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Misch Follower

I have been seeing many articles in the literature these days on implants placed in the sinus without graft material. Why the trend? Bone grafting has been successful with low risks to the patient, why move away from this? What is the risk/benefit of placing graft vs not placing graft when doing a sinus lift and placing the implant at the same time( closed sinus lift)?

(1)
dfeinerman

I have a patient with a nonrestorable tooth #14. After extraction there will not be enough bone for implant placement but I would like to bang up the septum and do my sinus lift at the time of extraction in order to have my site prepped for the implant in 3-4 months.
Is it possible to do the extraction, and the sinus lift using summers FT technique all at the same time?
Does anyone do the future site technique anymore?
I think this would allow me to avoid doing a lateral window and speed along the case.

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Sam Busich

Just saw a very interesting Free Video on www.dentalxp.com by Dr. Salama discussing the implementation of Obstructive Sleep Apnea Diagnosis and Treatment in the Dental Setting. It seems to be a very interesting and expanding area of dentistry. Anyone on this site involved with this in their practices?

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Misch Follower

I just got back from the Boston IJPRD meeting and have more questions then answers. It seems like there is a trend of leaving behind root tips for pontic sites as David Garber presented or now there is the Socket Shield that the Swiss are doing. The socket shield consists of leaving behing the facial aspect of the tooth being extracted and placing the implant in the bone behind it. They claim that the implant withh get bone and cementum on the surface and you will loss less bone in the socket. Anyone doing this?

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Misch Follower

How do I change the angulation of the osteotomy site? After I do my two twist drill prep I take a check film and I frequently have to re-angle becuase I am off. I find that this is difficult because the remaining drills want to go down the same path of the intial drill. What is the best way to overcome this?

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mansoor ahamed

During an extraction of tooth #14 the sinus was perforated for about 3mm in diameter in the mesiobuccal root area.
How do i close it? What material should i use? Should I graft it at all?
What is the best way to handle a sinus perf during an extraction? What is the risk of infection or complications?

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HerndonDDS

A patient recently chose an alternative implant at another office. It turns out this is a Zirconia material, one called CeraRoot from Spain. Are these being used much in Europe or around the world? Anyone have any experience with these implants?

This patient chose this for esthetic purposes having been told that "if tissue ever recedes then it will look better" (according to the patients comment).

Thank you in advance.

Michael

(1)
pierre le roux

With the advent of extreme makeovers and everyone wanting a model smile. I see more and more people who want to treat their excessive gummy display.
What are the best techniques to do this? GV or Crownlenghtening?
What do you do with a patient with a high smile that removing gum isnt enough?
Please describe the lip pulldown technique,and pitfalls to look out for?
Thank You

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Barbegio

Growth factors are changing the way we operate and increasing the success of our surgery.
There are growth factors sold over the counter like infuse, gem21, emdogain or obtained from the patient in a blood draw like PRP/PRGF/PRF.
I am curious as to what Clinicians are using in terms of these growth factors? What results are you getting? When do you choose one over the other? Which is the best? and what is the most cost effective?
Thank you and I look forward to reading your opinions.

(17)
nel113

I recently placed an implant into good bone. There is good BIC and good primary stability. The only problem is the angulation on how it was placed. It it in close proximity to an adjacent live tooth, about .5mm distance between the tooth and implant.
What could and will happen to the implant and/or to the natural healthy tooth? Should I take it out?  Thank you!

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Mental Foramen

Ok, I have noticed another big push in advertising regarding mini-dental implants. Used to be just Sterngold and IMTEC. Now I am seeing Implant Direct, OCO, Intra-Lock, and more jump in the mini-implant game. So, the companies want us to use minis. Is anyone here using them? If so, when and where? The only time I have used minis if for temp denture stabilization while bigger permanent implants heal. I have not used minis for definitive restorations. Anyone using minis for definitive restorations?

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tamada

I have read a variety of articles about mixing antibiotics with your graft material for sinus and GBR grafting.
Is it more successful then no antibiotics, does it enhance results and minimize infections? What is your protocol? Why do it? What are the inidcations? Does it make a difference? What are the downside risks?
Where can we buy 0.5% metronidazole IV solution for reconstituting the grafting material for sinus lift in US?

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mark jacobson

If you are a periodontist, why is it necessary to take the Wilko brother's course on rapid tooth movement? Is there value in AOO? What are the upside and downside risks? What are your surgical and orthodontic experience with it? What is the patient response?
Bottom line should I take the course?

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njp207

If a patient comes in with a root fracture on #9, and the gingival margin of #8 is apical to that of #9, how would you proceed with treatment, assuming this is a socket type two classification where soft tissue and bone augmentation would be necessary at time of implant placement if an immediate implant were to be placed?
Thank you for your help.

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