Dentaltown September 2016 - 34
oral surgery
message board
Continued from p. 32
jourdo
Member Since: 01/16/03
Post: 26 of 123
Do you have access to the preop film? I assume this is not an oral surgeon you use normally?
How did the case land in your lap? If my regular surgeon gave me the thumbs-up, I would not
have an issue restoring this.
6/8/2016
eeznogood
Member Since: 02/23/06
Post: 28 of 123
This is what I am seeing. I don't think that an implant will integrate into
so much root. It might have escaped symptoms early on, but later on as it
functions, bacteria will get in there. Very odd for a surgeon...
6/8/2016
FUDstu
Member Since: 04/18/10
Post: 29 of 123
Here is another view.
6/8/2016
jradds7
Member Since: 04/11/03
Post: 32 of 123
Um, yeah ... I'm not loving this situation. The more images you post, the more it looks like
a root tip. I like the idea of getting an OK from a second surgeon. Fact is, there are some risks
present but we can't know how high they are. It's more than your standard implant case, but
perhaps less than some others.
Hard to quantify to the patient, but he or she should be fully informed. Don't put yourself
in a position where you shoulder the blame if it fails. Put it on the patient. Say, "These are the
facts, the things we know. The risks are X, Y, Z. Other options could be: A, B, C. How do you
want to proceed, sir?"
6/8/2016
bronco1
Member Since: 01/03/13
Post: 50 of 123
You guys are overthinking it. The patient went through the procedure, paid for it and is
ready for the crown. It is not the perfect angulation, depth, etc., but is very restorable. Put a
crown on it, load the bone and follow. I am betting it will be just fine.
6/8/2016
eeznogood
Member Since: 02/23/06
Post: 57 of 123
Exactly. The problem with this case is that it is not just a root tip. It is a root half. A vertical
half, so it is likely that there is some root left all the way up to the gingiva.
As soon as this implant is loaded, it will no longer be sealed under the gums and the interface
between the implant and the root will be exposed. The root could get decay and the implant
will be down the drain.
If it were just a root tip totally submerged into bone by several millimeters with no pathology
and ankylosed, then it would make sense to leave it as is. But such a huge chunk of root going
all the way up to the gingiva is not the same thing. Placing a bridge on this will cost the patient
thousands, and if an early failure occurs, it will be on the GP who restored it.
I would not restore it.
6/8/2016
34
SEPTEMBER 2016 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown September 2016
On Dentaltown.com
Howard Speaks: Customer Returns—The Good Kind
Professional Courtesy: A Ton of Trouble for a Free Toothbrush
Continuing Education Update
New Products
Monthly Poll: Equipment
Implant into Root Tip?
Mandible Radiolucency Routine Pano
Handoffs
Second Opinion: To Floss or Not to Floss? That Isn’t the Question
Test Your Reading Comprehension: How well can you interpret what’s visible in dental radiographs?
Understanding Fracture Toughness
The Right Stuff: Your checklist for adopting new software technology
Electronic Health Records: Is it time to make the transition?
Permanent Help for Temporary Employees: The right practice management software can make all the difference
A Complex Restorative Case
Making Friends with Benefits: How to understand what employee perks are really worth—and which ones
Scoring the Perfect Patient Handoff
The Road to Greatness
Industry News
Product Profile: ClearCorrect
The Five Risk Factors of Improper Ergonomics
CE: Laser Mucocele Removal in Pediatric Patients
Dentally Incorrect
Dentaltown September 2016 - Intro
Dentaltown September 2016 - Cover1
Dentaltown September 2016 - Cover2
Dentaltown September 2016 - 1
Dentaltown September 2016 - 2
Dentaltown September 2016 - 3
Dentaltown September 2016 - 4
Dentaltown September 2016 - 5
Dentaltown September 2016 - 6
Dentaltown September 2016 - 7
Dentaltown September 2016 - On Dentaltown.com
Dentaltown September 2016 - 9
Dentaltown September 2016 - Howard Speaks: Customer Returns—The Good Kind
Dentaltown September 2016 - 11
Dentaltown September 2016 - 12
Dentaltown September 2016 - 13
Dentaltown September 2016 - Professional Courtesy: A Ton of Trouble for a Free Toothbrush
Dentaltown September 2016 - 15
Dentaltown September 2016 - 16
Dentaltown September 2016 - 17
Dentaltown September 2016 - Continuing Education Update
Dentaltown September 2016 - 19
Dentaltown September 2016 - 20
Dentaltown September 2016 - 21
Dentaltown September 2016 - New Products
Dentaltown September 2016 - 23
Dentaltown September 2016 - Monthly Poll: Equipment
Dentaltown September 2016 - 25
Dentaltown September 2016 - 26
Dentaltown September 2016 - 27
Dentaltown September 2016 - Implant into Root Tip?
Dentaltown September 2016 - 29
Dentaltown September 2016 - 30
Dentaltown September 2016 - 31
Dentaltown September 2016 - 32
Dentaltown September 2016 - 33
Dentaltown September 2016 - 34
Dentaltown September 2016 - 35
Dentaltown September 2016 - Mandible Radiolucency Routine Pano
Dentaltown September 2016 - 37
Dentaltown September 2016 - 38
Dentaltown September 2016 - 39
Dentaltown September 2016 - 40
Dentaltown September 2016 - 41
Dentaltown September 2016 - Handoffs
Dentaltown September 2016 - 43
Dentaltown September 2016 - 44
Dentaltown September 2016 - 45
Dentaltown September 2016 - 46
Dentaltown September 2016 - 47
Dentaltown September 2016 - Second Opinion: To Floss or Not to Floss? That Isn’t the Question
Dentaltown September 2016 - 49
Dentaltown September 2016 - Test Your Reading Comprehension: How well can you interpret what’s visible in dental radiographs?
Dentaltown September 2016 - 51
Dentaltown September 2016 - 52
Dentaltown September 2016 - 53
Dentaltown September 2016 - Understanding Fracture Toughness
Dentaltown September 2016 - 55
Dentaltown September 2016 - The Right Stuff: Your checklist for adopting new software technology
Dentaltown September 2016 - 57
Dentaltown September 2016 - 58
Dentaltown September 2016 - 59
Dentaltown September 2016 - 60
Dentaltown September 2016 - 61
Dentaltown September 2016 - Electronic Health Records: Is it time to make the transition?
Dentaltown September 2016 - 63
Dentaltown September 2016 - 64
Dentaltown September 2016 - 65
Dentaltown September 2016 - Permanent Help for Temporary Employees: The right practice management software can make all the difference
Dentaltown September 2016 - 67
Dentaltown September 2016 - A Complex Restorative Case
Dentaltown September 2016 - 69
Dentaltown September 2016 - 70
Dentaltown September 2016 - 71
Dentaltown September 2016 - 72
Dentaltown September 2016 - 73
Dentaltown September 2016 - 74
Dentaltown September 2016 - 75
Dentaltown September 2016 - Making Friends with Benefits: How to understand what employee perks are really worth—and which ones
Dentaltown September 2016 - 77
Dentaltown September 2016 - 78
Dentaltown September 2016 - 79
Dentaltown September 2016 - 80
Dentaltown September 2016 - 81
Dentaltown September 2016 - 82
Dentaltown September 2016 - 83
Dentaltown September 2016 - Scoring the Perfect Patient Handoff
Dentaltown September 2016 - 85
Dentaltown September 2016 - 86
Dentaltown September 2016 - 87
Dentaltown September 2016 - 88
Dentaltown September 2016 - 89
Dentaltown September 2016 - The Road to Greatness
Dentaltown September 2016 - 91
Dentaltown September 2016 - 92
Dentaltown September 2016 - Industry News
Dentaltown September 2016 - Product Profile: ClearCorrect
Dentaltown September 2016 - 95
Dentaltown September 2016 - 96
Dentaltown September 2016 - 97
Dentaltown September 2016 - The Five Risk Factors of Improper Ergonomics
Dentaltown September 2016 - 99
Dentaltown September 2016 - 100
Dentaltown September 2016 - 101
Dentaltown September 2016 - 102
Dentaltown September 2016 - 103
Dentaltown September 2016 - CE: Laser Mucocele Removal in Pediatric Patients
Dentaltown September 2016 - 105
Dentaltown September 2016 - 106
Dentaltown September 2016 - 107
Dentaltown September 2016 - 108
Dentaltown September 2016 - 109
Dentaltown September 2016 - 110
Dentaltown September 2016 - 111
Dentaltown September 2016 - Dentally Incorrect
Dentaltown September 2016 - Cover3
Dentaltown September 2016 - Cover4
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