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Infected tooth with sinus perforation treatment: feedback?
A middle aged woman presented with a swollen gingiva buccal to tooth #15 which had a previous RCT and crown. I am wondering if I should place a membrane and bone graft after extracting the tooth or if I should let it drain on its own?The postInfected tooth with sinus perforation treatment: feedback? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 17, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Surgical Source Type: news

Type 2 Diabetes and Dental Implants?
Should clinicians consider type 2 Diabetes a factor when developing their treatment strategies for dental implants?The postType 2 Diabetes and Dental Implants? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 16, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Implant News Source Type: news

Dental implants in patients with osteoporosis?
Whether Osteoporosis influences the long-term survival of dental implants, is still an unsettled issue.The postDental implants in patients with osteoporosis? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 16, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Implant News Source Type: news

Full mouth restoration case: treatment options?
I'd like to get feedback on this case involving a patient that has been edentulous for 11 years and due to unsatisfactory experience with complete dentures does not want removable prostheses.The postFull mouth restoration case: treatment options? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 12, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Surgical Source Type: news

Sinus Tract Next to Tenting Screw After Bone Graft and Implant Placement: How to Resolve?
After 5 months of uneventful healing of implants, I now see a small lesion resembling a sinus tract that is present in the immediate vicinity of one tenting screw.The postSinus Tract Next to Tenting Screw After Bone Graft and Implant Placement: How to Resolve? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 11, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Patient with Lower RPD considering implants: opinions on treatment options?
This patient is in good health without any contraindications to treatment and is currently wearing a lower RPD. She wants something more permanent and more stable, and is considering implants.The postPatient with Lower RPD considering implants: opinions on treatment options? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 9, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Ridge Augmentation: Thoughts about Bond Apatite synthetic Bone Graft?
Any thoughts on using synthetic bone augmentation materials, like Bond Apatite for lateral ridge augmentation or ridge widening?The postRidge Augmentation: Thoughts about Bond Apatite synthetic Bone Graft? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 6, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Inheriting patient with old implants: restorative solutions?
I have inherited a patient with two old implants in the 21 and 22 region. They have an internal hex but the crowns that were originally on them have been destroyed.The postInheriting patient with old implants: restorative solutions? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 3, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Loose implant during abutment loading: thoughts?
I had placed two anterior implants recently but during abutment loading, one implant seemed to be slightly mobile.The postLoose implant during abutment loading: thoughts? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 2, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Complications after sinus lift and implant: recommendations?
One week prior, I did a sinus lift and placed an implant in 26 region.   Now my patient feels numb in 21 and 22.The postComplications after sinus lift and implant: recommendations? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 2, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Mucosa present in implant ready for uncovering: Case for Alloderm?
This is what the tissue looks like currently from an implant placed 6 months ago. I do not think it is worth uncoveringThe postMucosa present in implant ready for uncovering: Case for Alloderm? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 30, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Source Type: news

When and how to correct peri implant gingiva?
Clinical exam revealed though that the peri-implant soft tissue around the posterior implants have a concavity due to what appears to be from mechanical trauma during function of the RPD.The postWhen and how to correct peri implant gingiva? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 30, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Anterior Implants: Perforate the Mandibular Incisive Canal?
Could someone please review these images and let me know if it would be acceptable to perforate the Mandibular Incisive Canal for an All-on-4 treatment plan or for an implant supported denture or hybrid?The postAnterior Implants: Perforate the Mandibular Incisive Canal? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 29, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Bleach to treat peri-implantitis?
I would like to get your opinion on using bleach on an Ultradent brush tip syringe or in a Waterpik to treat peri-implantitis.The postBleach to treat peri-implantitis? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 28, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Best way to rescue this implant case?
The papillae are now of acceptable appearance for the patient, but here is still approximately 2mm Soft tissue deficiency. What are the options for improving this further?The postBest way to rescue this implant case? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 27, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Failing implants in lateral incisors with esthetic problems: Suggestions ?
On the right side, it's possible to see that both canine and central incisors have their soft tissues contours compromised due to the bone loss around the implant.The postFailing implants in lateral incisors with esthetic problems: Suggestions ? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 23, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant failing in extremely dense bone: prospects to replace?
PA taken at time of impression for the prosthetics showed a failing #19 with 3 mm bone loss and #20 having lost 3 mm on the distal, but M was perfect.The postImplant failing in extremely dense bone: prospects to replace? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 22, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Can a PTFE membrane be left exposed in oral cavity ?
I wanted to know if a PTFE cytoplast membrane needs to be covered with a flap and primary closure or if it can be left exposed to the oral cavity?The postCan a PTFE membrane be left exposed in oral cavity ? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 21, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Lower anterior implants: Cause of Unexplained Pain?
Three weeks ago, I removed an implant from the 3rd quadrant in the canine area and on the same day   placed a NobelActive implant. Three weeks later the patient still has 4 out of 10 level painThe postLower anterior implants: Cause of Unexplained Pain? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 16, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

OMC Obstruction: contraindication for sinus lift?
I am a planning sinus lift procedure with a lateral window approach. ENT findings were an osteomeatal complex]obstruction and thickening of the sinus mucosa. Is this situation a contraindication?The postOMC Obstruction: contraindication for sinus lift? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 15, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Treat peri-implantitis: Most effective way without using a laser?
I have a case of peri-implantitis with 4mm bone loss, suppuration and bleeding on probing. What do you recommend as the most effective way to disinfect the implant surface without using a laser?The postTreat peri-implantitis: Most effective way without using a laser? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 15, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Autogenous Bone: Most Effective Material?
Two recent studies show good results with autogenous bone grafts, long considered the most effective material in bone regeneration procedures.The postAutogenous Bone: Most Effective Material? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 13, 2018 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

2018 Global Implantology Summit
The 2018 Global Implantology Summit, will cover all aspects of dental implantology, from diagnosis to surgery through restoration.The post2018 Global Implantology Summit appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 13, 2018 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Preparing implant osteotomies: regular surgical micromotor vs physiodispenser?
I always feel like the Physiodispensers are just micromotors with saline dispensers attached to them.   And thus I want to know if I can use a regular surgical micromotor to prepare implant osteotomies? The postPreparing implant osteotomies: regular surgical micromotor vs physiodispenser? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 12, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Anterior Mandible and Incisive Nerve: Any danger of placing implants?
Is the patient in danger of having implants placed in area 27/26 in this case? I once read that neuropathic pain may occur after implant placement in the interforaminal region due to the perforation of the incisive canal and nerve.The postAnterior Mandible and Incisive Nerve: Any danger of placing implants? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 8, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant placement and learning: your views?
Many of us learn about placing implants in various courses given throughout the United States. In your opinion can one learn the implant placement procedures well in these courses or do you see any alternatives?The postImplant placement and learning: your views? appeared first onOsseoNews Dental Implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 8, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Retained root tip: Recommendations?
I extracted a left maxillary first bicuspid today.   The plan was to place an immediate implant after extraction.  However, the extraction turned out to be very difficult because the tooth had extremely thin buccal plate that fractured during elevation, and a minor oroantral communication was noted on the palatal root. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 6, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Periodontitis: Immediate implant or wait?
This patient has periodontitis.   I would like to know if it would be a sound treatment plan for me to extract the anterior teeth and immediately place implants? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 6, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Late failure of implant after 5 years: Bisphosphonate related?
I have a case with a late failure of an implant at one site, 5 years after implantation, and bone disintegration at another other site. This patient received IV bisphosphonates. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 4, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Can I use Guided Surgical Drills when placing the implant freehand ?
I will be buying the Biohorizons Guided Surgery kit. I wanted to know from the experienced members whether it can be used while placing the implants freehand? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 4, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Feasibility of sinus lift in case of thickened sinus membrane?
Is it advisable in this case to proceed with bilateral sinus lifts to create a more favorable environment for the implants with bone augmentation? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 27, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Sublingual hemorrhage on implant placement: what happened?
During the implant procedure I noticed that the floor of the mouth was rising and suspected I had severed an artery and there was a sublingual hemorrhage.   (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 26, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Guide fabrication for immediate implant placement?
I have been turning down many patients because they want implants placed immediately after extractions.   Is it possible to use surgical guides to place implants immediately after extractions? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 26, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Implant in traumatic tooth case: options?
This case started with a traumatic tooth. Months after there is still no bone around apical third of implant. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 21, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Reverse coronal taper for implants: your thoughts?
I recently have seen an implant which has reverse coronal taper at the top of implant and I am wondering what others think of them. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 20, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Lower Anterior Implants: immediate insertion a possibility?
In this case, can I do an immediate insertion of implants following the extractions, to later support a 4-unit bridge? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 20, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant positioning: your recommendation?
I am planning on placing implants in the upper left posterior quadrant where 25 and 27 are missing and with 26 and 28 grossly decayed. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 19, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant positionining: your recommendation?
I am planning on placing implants in the upper left posterior quadrant where 25 and 27 are missing and with 26 and 28 grossly decayed. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 19, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Purulent discharge and radiolucent area around implant: Advice?
I placed an implant at area 32 with bone graft.  Saw patient after 18 days and there is purulent discharge and a radiolucent area around the implant.  (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 19, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Alveolar canal extension: risk probability with implants?
In this mandible, especially on the right side, there is an a typical extension of the inferior alveolar nerve.   What is the risk of placing implants thru this? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 19, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Impression copings for Straumann tissue level implants: any issues?
Has anyone had either good or bad experiences trying to take an impression of Straumann tissue level implants using Straumann impression copings? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 18, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Indirect sinus lift: Opinions?
I recently placed a 4.5x11.5mm implant in the 16 region using an indirect closed sinus lift technique. This is my first time using this technique and I'd like opinions on the result. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 16, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Atrophic maxilla: Recommendations?
I just received this panoramic   X ray and I would like to hear your opinion. I don't perform zygomatic implants and the patient does not want this kind of procedure. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 14, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Short Implants vs Sinus Augmentation
Two clinical approaches suggested in the posterior maxilla presenting with limited alveolar bone height are either sinus augmentation with standard dental implants or short implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 14, 2018 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Bone Loss Around Implant: Another Case
Here is a case with Legacy 3 implant, done in 2014, with 3.5 years loading. The marginal bone level is not so bad, with no loss since implant placement. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 12, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Smokers and Sinus Lifts: Thoughts?
I am encountering dilemmas with patients that require sinus lifts and are smokers. Can anyone share their experiences with performing sinus lifts on patients that smoke? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 12, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Bone Block Graft: options besides removing flange?
I will be placing two bone block grafts in the area of 6-11 on an edentulous patient. Previously when doing this, I shell off the entire buccal flange from the patient's denture during healing. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 9, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

How would you sequence this treatment for this implant?
A 17 year old boy came into my office today missing tooth #8. The CT scan shows that the buccal cortical plate is still intact but the gingiva appear traumatized buccally. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 8, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Osteotomy preparation: safety of vascular channels?
During implant osteotomy preparation in mandible, how safe or complicated are lingual vascular channels going into the cancellous bone through lingual cortical plate? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 8, 2018 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Maxillary sinus augmentation: DBBM and L-PRF
Platelet-rich fibrin (PRF) has been applied successfully in implant dentistry. How would a mixture of PRF and another graft material, compare to PRF alone? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 6, 2018 Category: Dentistry Authors: osseonews Tags: Implant News Regenerative Source Type: news