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Should an MD be required to read Cone Beam Scans?
For the bulk of the dentists using CBCT images for implant planing we are reading our own scans. Do you think a radiologist should be reading these? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 21, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Site of blood draw for dental patients?
As a potential area of interest to all, it would be appreciated if we could share some information on the location of blood draws for patients. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 20, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Restoration of damaged central from trauma: advice?
This 23 year old female has suffered trauma to the previously root filled maxillary central incisor. The tooth is mobile and there is swelling around the facial gingiva.   (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 17, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Thoughts on Challenge due to Significant Concavity in Implant Site?
This patient desires implants in 3,4,5 sites. My concern is the amount and location of quality bone. From the axial view you can see the 5 site has a significant concavity. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 16, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Suggestions for bruxer with locator supported overdentures?
I did this locator retained over denture case ten yrs ago. Patient is a female, age 55, and is a tremendous bruxer. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 15, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Bluish swelling next to implant restoration: next steps?
During seating of the implant restoration, I noticed a red-bluish swelling at the buccal area that wasn't there before.   (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 14, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Patient with trigeminal neuralgia: contraindication for implants?
Patient wants implant supported overdenture for maxillary and mandibular arches. Patient has a history of trigeminal neuralgia for the past 10 years and is under medication. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 14, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Crest Preservation with Immediate Implant Placement
This patient presented with poor prognosis for the remaining teeth and 2 implants. The plan was to perform immediate implant placement of 3 implants and simultaneously augment and preserve the ridge crest. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 14, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant vs. Conventional Solution in Replacing First molar?
A mandibular first molar was missing for years and resulted in bone deficiency. The deficiency had a typical dip like profile of about 5mm in the deepest area. What would be your treatment plan? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 13, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Loose abutment screw will not tighten or back out: recommendations?
I have a patient with a cement retained implant bridge.   The abutment screws in have apparently been loosening and causing problems for years. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 10, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Is a Sinus lift needed?
I am planning on placing implants in the edentulous areas of the maxilla and mandible.   Do you think the patient will need a sinus lift? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 9, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Grafting Vertical Osseous Deficiency?
What would be the suggested way of grafting bone in a vertical osseous deficiency between a second bicuspid and second molar in a mandible? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 8, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Radiolucency in 25: Prognosis of implant?
I placed an implant in 25 site 4 months prior and just received an OPG from a colleague showing a radiolucent lesion at the apex.   (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 7, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant Restoration after Inferior Alveolar Nerve Transposition?
I have a new patient with mandibular implants placed following an inferior alveolar nerve (IAN) transposition technique. The patient is considering delaying the restorative phase. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 6, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Material of choice opposing a maxillary complete denture?
I have a patient with an upper edentulous ridge restored with an acrylic complete denture. The mandibular ridge has six well spaced implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 2, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Accessory branch of inferior alveolar nerve: clinical significance?
The CBCT scan shows a prominent accessory branch emerging from superior cortex of right inferior alveolar canal distal to #45. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 2, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Trouble with BioHorizon Bone Surgical Guide and Drill kit?
Has anyone experienced issues when using a bone surgical guide for biohorizon implant system when placing the implant through the guide? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - November 1, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Bicon Implant Fell Off Upper Lateral: Reasons?
I placed an immediate Bicon 3x8mm implant after extracting the maxillary right lateral incisor.   The implant exfoliated at night while the patient was sleeping. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 31, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Implant close to root canal tooth: thoughts?
The implant in the first premolar site is slightly palatal and close to the canine which had endo treatment 2 months prior and has an apical scar. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 29, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

5 Months after Extraction: Place Implant Now or Wait Longer?
I have treatment planned this patient for a 3.75x13 implant in the 35 site which was extracted 5 months ago.  Should I wait a couple of months before implant placement? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 26, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implants Supporting Maxillary Overdenture: Prognosis?
What's the prognosis of a maxillary overdenture supported by 4 immediately placed implants distributed on right and left lateral incisors and first premolars? Will implants of this size support the denture? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 25, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Microbial Leakage, Dimensions of Maxillary Teeth, Housing Material
The highlighted abstracts this month discuss Microbial Leakage, Dimensions of Maxillary Teeth, Housing Material, and the Type of Screwdriver. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 24, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Regenerative Restorative Surgical Source Type: news

Missing maxillary central incisor: thoughts?
My patient is missing the maxillary central incisor.  The incisive canal is very large and is situated to the lingual. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 23, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Lateral incisor implant not deep enough: thoughts?
This patient had failed root canal with large periodical pathology. The implant was placed 2.5 mm apical to the desired final soft tissue margin, but due to pre-existing bone loss, this resulted in the implant being placed 1-2 mm supra-crestal. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Placement of Implant in Mandibular Anterior Region: precautions?
I have treatment planned this patient for implants in the mandibular anterior region.  Are there any precautions I should take in terms of possible complications, like bleeding? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 16, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Insurance Compensation for PRF?
Would anyone with experience share ways of billing for venipuncture and preparation of the PRF to be used in grafting sites? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 12, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Implants in maxilla: Depth and orientation?
I placed these 2 implants in the maxilla.  They extend into the maxillary sinus.  Do you think the depth and orientation is okay? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 11, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Unknown implant: suggestions to remove attachment?
I tried to unscrew the attachments from the implants but my 1.2 hex driver wouldn't even fit to the screw hole on the top of the attachment. Any suggestions on to how remove the attachments? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 9, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Is this implant integrating or is there a complication?
I took a radiograph 3 months after implant placement and I can see bone loss along the mesial surface of implant. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 7, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Immediate Loading: Are we lowering the odds?
What are the criteria of immediate loading? According to Prof. Branemark, the concept of immediate loading was not acceptable. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 6, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Gingival Hyperplasia with Hybrid bridges: comments?
Hybrid bridges have presented some problems over the years with gingival hyperplasia due to excessive pressure from the gingival surface of the bridge. The tissue swells up and upon removing the bridge one can see the imprint of the bridge with hyper plastic tissue in some areas on the perimeter. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 4, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

What type/brand of implant is this?
Patient is from Ireland. Any idea what implant this is? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 4, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

How to use Summers technique exactly? What sequence?
I have treatment planned this patient for a Summer's lift to place a Straumann Tissue Level WN 4.8 of 8mm implant in the maxilla in the right second molar site. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - October 1, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

What bio-material to choose for sinus lift?
I have treatment planned a patient 2 implants in the maxilla and need to do a Summer's technique sinus lift. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 27, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Suggestions for a more predictable and aesthetic 2nd-stage technique?
The patient has returned after 4 months have passed, and I am treatment planning the second stage.   What are preferred methods for second stage surgery which leave an adequate thickness of gingiva labially? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 26, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Treatment of Large Bone Defect from Root Fracture
In this case, a large bone defect, as a consequence of fractured roots of the first molar, was augmented by Bond Apatite bone graft cement. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 25, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Source Type: news

Robot-assisted Implant Surgery: the future?
With approval of Yomi, and details of a robot performing autonomous implant surgery in China, is robotic-assisted implant surgery soon to be a reality? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 25, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Compromised prosthetic space?
I received this case to make the final crown. It's a Straumann BLT 3.3 x 12 Narrow Crossfit. The fixture has some distal inclination. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 22, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Restorative Source Type: news

Radiopaque bone lesion at future implant site: thoughts?
The CT shows multiple radiopaque lesions. Some of those lesions are at the implant site. My differential diagnosis includes idopathic osteosclerosis or cemento-osseous dysplasia. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 21, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant Configuration, Narrow-Diameter Implants, Implant Prognosis with Peri-implantitis
This months abstracts discuss topics related to Implant Configuration, Narrow-Diameter Implants, Implant Prognosis with Peri-implantitis. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 20, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Overerupted opposing teeth: recommendations?
I have a 50 year old female patient whose LL6 and 7 have been missing for some years.  She has requested implants to replace these missing teeth.  UL6 has over-erupted to the extent that there is reduced inter-arch space. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Broken Screw: help identifying implant?
Any help in identifying this implant type? Gentleman showed up with broken screw in abutment/cantilever crown complex in hand. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 19, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Removal of root tip after extraction?
I performed an extraction of tooth #30. The tooth was endodontically treated and badly broken down but without a periapical lesion. During the extraction I sectioned the tooth and took off the distal root. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 18, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

How to increase primary stability with cylinder implants without osteotomes?
If I don't have osteotomes, what is the best technique for increasing the primary stability of cylinder implants in poor quality bone? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 14, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Large radiolucent lesion on lower first molar: immediate implant?
In view of the large radiolucency, does anyone have an opinion on immediate implant placement? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 13, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Marketing Implant Dentistry?
I have taken, and continue to take many courses in implant dentistry and really enjoy this part of my practice. I am wondering if some of you could weigh in on how to build the implant part of my practice up even more. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 12, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Occlusion for All on Four against Natural Teeth During Transitional Phase?
We have a patient we have treatment planned for an All-on-4 in the maxilla.  He is retaining his teeth in the mandible where he has second premolar to second premolar and one second molar. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 10, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Grafting for Implant supported complete overdenture?
For most of the cases that I see where a maxillary complete overdenture has been planned, there is insufficient bone height and volume in the anterior region, especially around the canine and lateral incisor area. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 8, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Palateless Maxillary Locator Case?
I have a patient that is interested in a maxillary denture retained by locators but he does not want any acrylic on the palate. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Parabolic bone format: What to do and which implant to use?
I have treatment planned a patient for an implant in 46 edentulous site.  The coronal surface of the alveolar ridge there has a parabolic morphology. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - September 4, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news