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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

Bone loss with screwed in prosthesis?
At the follow up, the x-ray shows nice bone loss at the screwed in prosthesis. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 15, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Regenerative Surgical Source Type: news

SMART Technique: A Revolution in Bone Grafting?
The subperiosteal minimally invasive esthetic ridge augmentation technique, or SMART, has been developed as an alternative to traditional guided bone regeneration procedures. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 14, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Regenerative Surgical Source Type: news

Fixation screws for graft: which size do you prefer?
Which size and length of fixation screw do you use most often for fixation of a buccal plate that fractured after ridge splitting or to stabilize a block graft? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 13, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Rapid unexplained bone loss after re-cementation?
One week following re-cementation of the FPD, the patient came back and complained of tenderness on the buccal aspect of implant #24. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 8, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Maxillary prosthesis for patient with Sjogrens syndrome?
I am treatment planning a maxillary prosthesis for a patient with Sjogrens syndrome who has had 5 implants placed in her edentuluous maxilla. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 8, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Connect implants and natural teeth with bridge?
I have seen a number of cases where implants and natural teeth are connected by a bridge.  I know traditionally this was not considered a viable long-term option. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 7, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Root resorption after bone graft: cause?
I have treatment planned this 56 year old male with a noncontributory medical history to replace his missing maxillary teeth with implants. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Gingival recession of adjacent teeth: Effect on Implant?
 How will the gingival condition of the adjacent teeth effect the prognosis of the implant case? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implants too close together: how to solve?
The mesiodistal space between the implants at the crest is 2-3mm. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 5, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Beta tricalcium Phosphate particles inside sinus?
After removal of the implant, I placed Beta Tricalcium Phosphate (bTCP) into the implant site and sutured the buccal and palatal flaps closed. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - March 1, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Regenerative Source Type: news

Implants in Anterior mandible: concerns when perforate incisive canal?
My question relates to the placement of implants in the anterior mandible. Is there any concern for bleeding or neuropathic pain if we perforate the incisive canal. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 27, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Lump under lip 1 month post GBR: feedback?
This same patient presented yesterday with a pea sized lump in the vestibule at the level of the 12 apex which also approximates the junction of the apical portion of the vertical release incision (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 23, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Crestal Sinus Lift with Osteotomes: Minimum Height?
Initially I used the drills to prepare the osteotomy to the depth of 5mm followed by osteotomes to perform a crestal sinus lift without using any bone graft. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 22, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Composite Stain at Access Holes?
I have had some complaints from my patients concerning the staining around the margins of the composite filling the screw access holes. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 22, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Restorative Source Type: news

Forgot cover screw: what are my options?
I placed an implant and did GBR. Unfortunately I forgot to place the cover screw. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 21, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Implant Diameter: Does it effect strength?
Does the failure rate increase as the implant diameter decreases? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 21, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Custom-made implant designs: the future?
Due to rapid advances in computer aided design/computer aided manufacturing technology, custom dental implants, or patient-specific implant dentistry, is continuing to gain traction with researchers. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 21, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Implant 46 with GBR: Recommendations?
Tooth #46 tooth was extracted 1 year before and is missing the buccal plate. At the time of extraction, no bone augmentation was done. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 13, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Bicortical implants: thoughts and experience?
I would like to learn more about bicortical, immediate-loading implants.  These implants have a smooth surface and depend on osseofixation to the cortical bone for primary stability. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 9, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news

Implant torque: what is recommended?
I primarily place Nobel Biocare implants, which have a recommended torque of 35Ncm for implant abutments. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 9, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Keratinized Tissue: terminology and best time to correct?
One of the factors in maintaining the health of implants is insuring that there is an adequate zone of keratinized tissue around the implant. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 9, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Questions Surgical Source Type: news

Grafting and Dental Implantation in Patients With Jawbone Cavitation
A recent study followed up on thirty-four partially edentulous patients who were found to have jawbone cavitation during dental implant surgeries. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 6, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Implants in elderly patients: success rate?
Is there a connection between age and the success rate of dental implants? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - February 6, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Can micro threads reduce marginal bone loss around dental implants?
Can microthreads in the crestal portion of an implant reduce the amount of marginal bone loss around implants? (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - January 31, 2017 Category: Dentistry Authors: osseonews Tags: Implant News Surgical Source Type: news

Tooth 46 large abscess and radiolucent lesion: recommendations?
The tooth had a large abscess and large periapical radiolucent lesion. I tried to curette as much as possible, but did not graft the socket. (Source: Dental Implants Discussed by Experts)
Source: Dental Implants Discussed by Experts - January 29, 2017 Category: Dentistry Authors: osseonews Tags: Clinical Cases Surgical Source Type: news