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Dealing with Deep Implant?
Note that the implant and abutment are quite deep.  What is the best technique? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 21, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Deficient palatal bone wall: best approach?
After CBCT analysis, I noticed the deficient palatal bone wall on slices 48 and 50.  I am not sure what this is. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 20, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Secondary mental foramen: recommendations?
 I have identified the mental foramen but it also appears as though there may be a secondary foramen just mesial to it.  I am seeing the shadow just mesial to the mental foramen and am wondering what it could be. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Maxillary sinus mucous retention cyst removal: thoughts?
CBCT revealed large maxillary sinus mucous retention cyst. Treatment plan was to remove cyst with delayed graft. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 15, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Connecting crown over implant abutment via precision connector?
There is an understanding that a natural tooth should not be connected with a restored implant. The question arises from a desperate need to find a solution in a case that would benefit from splinting. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 14, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Immediate Implant in Area with Periapical Lesion?
This patient presented with a  three-rooted premolar #5 that has a chronic periapical lesion that been asymptomatic. Would you use a delayed or immediate approach? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 13, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

How to rehabilitate the maxillary arch?
 I am considering as my primary treatment plan doing bilateral sinus lifts with bone grafts and installing 3 implants on each side or All on 4. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 12, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Immediate implant placed: leave it or remove it?
The CT showed that the dental implant, placed immediately, is fully exposed on the palatal, very disappointing. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 9, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Fractured implant: Remove or bury?
The implant in question is fractured, causing the abutment and crown to be dislodged. You can see the distal aspect of the occlusal platform bulges out and this implant will no longer support an abutment or screw. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 8, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Infection of Grafted Site: recommendations?
This patient had peri-implantitis. I grafted the area with Bio-Oss, allograft and autogenous mixed with PRF serum and held in place with titanium-reinforced membrane. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 7, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Source Type: news

Popcorn effect from granules following GBR?
Recently I have started noticing  a popcorn effect, by which I mean that you can see small graft granules beginning to exfoliate. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - June 6, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Occlusal Changes near Implants?
Has anybody noticed that the occlusion of teeth adjacent to the implant restoration changes? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 30, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Flapless or Flap Protocol?
A recent study measured marginal bone changes and peri-implant conditions 8.5 years after placement of one-piece implants with an anodically oxidized surface (AOS) using a flapless or flap protocol. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 26, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Custom 3D-Printed Resorbable Bone Grafts for Ridge Augmentation
The image is then printed by a 3D printer, producing a resorbable bone graft that fits your patient precisely. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 25, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Source Type: news

Can this implant restoration be upgraded?
The non cemented, friction fit retention of this implant and abutment design is bothersome for the patient. Does anyone know of a solution to upgrade this implant? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 23, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Implants with Aggressive Periodontitis: suggested treatment plan?
She has a generalized, aggressive form of periodontitis and many of her teeth are mobile and with a poor long term prognosis. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

What are the pro and cons for placing 6 mm implants?
What are the pro and cons for placing 6 mm implants in the posterior area in mandible or maxilla? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 17, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Angulated implant: best way to proceed?
I am wondering how we can restore this implant in the #12 site. There was an error and case ended up with an implant that is angulated towards #13. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 16, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Root tip in the implant ’s path: what would you do?
This patient presented with a missing maxillary second premolar with a root tip at its apex.  If this were smaller, I would probably just plan on drilling through it. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 15, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Deeper implant or buccal graft?
I have been seeing many cases like this where there is adequate alveolar ridge height but deficient buccolingual alveolar bone width. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 12, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Surgical Source Type: news

Discovered fistula during implant restoration: suggestions?
I extracted the tooth in September 2016 and placed an implant that day. I started to restore the implant yesterday and I discovered a fistula. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 11, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implants in Sockets: Healed vs Fresh?
Are the success rates for implants higher for fresh sockets or for those inserted in healed sockets? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 10, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

What is your Failed Implant Policy?
I am curious as to how other offices handle failed implant cases. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Replacement of endodontically-treated failing UR1 with dental implant?
The tooth has had conventional endodontic therapy and then an apicoectomy. What is the best implant treatment plan here? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 2, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant installment in the UL6 site: Thoughts on sinus lift?
There is reduced bone height beneath maxillary sinus  and the lateral sinus wall is rather thick.   I wonder if I should perform lateral sinus lift or internal sinus lift and simultaneous implant placement. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - May 1, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Retightening of abutment screws: does it help?
Retightening abutment screws once after the initial torquing could enhance the removal torque of the screw. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 25, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Restorative Source Type: news

Retightening abutment screws?
Retightening abutment screws once after the initial torquing could enhance the removal torque of the screw. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 25, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Restorative Source Type: news

Patient with Hemangioma: Thoughts on implant treatment?
I have a patient who presents with a  hemangioma of the facial region, and I'm wondering about implant treatment. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 24, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Sinus lift complication: thoughts?
We did an internal sinus lift and placed an Osstem implant 4x8.5mm in site 25. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 21, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

How to repair a failed implant site?
Both implants had been torqued to 40Ncm. My question is after removing this implant, how would you treat this case? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Accuracy of Digital Implant Impressions?
How accurate are digital impressions when compared to conventional impressions, especially in cases of angulated implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 16, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Restorative Source Type: news

Gutta percha apical socket: Remove gutta or Place shorter implant?
 Four months later when the patient returned, I took a CBCT and noted fragments of gutta percha remaining in the cancellous bone from a prior gutta percha overfill.   (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 13, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Case: Ridge Augmentation with OSSIF-i Demineralized Sponge Strip
This case is presented by Dr. Kevin Frawley, DDS. Pre-op (see case photos below) This asymptomatic patient presented with an existing 3-unit bridge hybrid Maryland [...] (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 10, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Source Type: news

Plasma Rich in Growth Factors: Long Term Implant Survival after Sinus Augmentation?
The use of PRGFs for maxillary sinus grafting may be an effective and safe treatment option for the rehabilitation of atrophic edentulous posterior maxillae. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 10, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Regenerative Source Type: news

Osstell SmartPegs for MIS implants?
I ordered the SmartPegs for the type of MIS implants I use and Osstell informed me that they don't currently have available this type of SmartPegs (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Dental implants in a young patient on Remicade infusions for cervical spondylitis?
I have a 39 year old male patient for dental implants who presents with cervical spondylosis and gets an infusion of infliximab (Remicaide) every 6 weeks. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Two Dental implants almost touching: What are my options?
I have had two dental implants (Nobel Replace tapered) done. Unfortunately, they were installed too close and almost touching. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Peri-implantitis surface decontamination: which method?
A recent study assessed the long-term outcomes of treating advanced peri-implantitis lesions using either a laser or curettes. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 3, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

What is the influence of the number of implants on the movement of overdentures?
The rotational movement of an implant overdenture has a negative effect on the perceived masticatory ability of the denture wearer. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - April 3, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Restorative Source Type: news

Osseodensification with Densah burs: thoughts?
Anyone using the Densah burs and the osseodensification technique to densify bone, lift the sinus or expand a ridge? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 27, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Graft protection when primary closure impossible?
The vestibule is very, very shallow and prevents primary closure by releasing the flap. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 27, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Can it be neuropathy of anterior mandibular incisive canal?
I placed an implant with a bone graft 10 days ago.  The patient returned 2 days later complaining of pain at the site and pain radiating to the mandibular posterior. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 27, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Implant placed too close to previous implant: complications?
When I extracted tooth 12 and inserted the implant I placed it too close to 13. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 23, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

#27 Implant Severely Sloped Lingual Knife Edge Mandible: Ideas?
How do I manage the knife edge ridge so I can place an implant and maintain the existing normal gingival architecture? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 21, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Fracture line in osstem implant: thoughts?
I had placed an Osstem 4x11mm implant in 36 region 3 years ago. Eventually the screw broke. I retrieved it. The implant also shows a crack line on the labial surface (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Is this a fistula?
This is an implant I did last September. Does this look like a fistula? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Augmentation of upper central incisor area: with or without removing of nasopalatinal canal contents?
The bone defect in the #8 site is very large and connected to the incisive canal. The periodontal health of the surrounding teeth is stable. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Flap dehisence: What should be done?
After a week, the implant patient presented with flap dehiscence. I re-sutured and again the same picture. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Early loading at 8 weeks: Should I take a chance here?
I have done 30 immediate and conventional implant loading cases.   But never early loading. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 17, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Large soft tissue swelling over labial after graft: recommendations?
After implant placement, you can see the large soft tissue swelling over the labial.  It is painless. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 17, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Source Type: news