Dentaltown June 2018 - 35

palmers31
Thanks for all the great
Member Since: 07/30/08
replies, everyone. I really apprePost: 45 of 71
ciate it! Patient is coming in on
Tuesday for implant removal, so I'll post an update after
the appointment. I put the patient on a Medrol Dosepak
and an antibiotic, and he seems to be doing fine so far
(knock on wood). ■
3/15/2018

Mikehanna
What I have done when I
Member Since: 03/22/10
felt this was take an explorer and
Post: 46 of 71
feel inside the osteotomy and it
just feels "empty" beyond the cortical bone. When you
find this early, it makes it very easy because at that time
I am concerned only about the width of the osteotomy
in the cortical bone and drill only 1 or 2mm into the
cancellous bone. I undersize the osteotomy and when I
place the implant I am aware that it has retention only at
the cortical bone level. Drive it down ever so slowly to the
point where the top of the implant is flush with the bone
and no further. The implant is held only by the cortical
bone and is floating in whatever mush is inside that bone.
When it heals, it looks normal and I can torque abutments without a problem. What I do not know, however,
is whether bone forms around it eventually or whether it
just survives as a "suspended" implant hanging onto the
cortical bone above with its bottom suspended in bony
mush.
Maybe someone can start a study with a coroner's
office to do dissections of long-standing successful
implants to find out exactly how they survive in real life. ■
3/15/2018

johnstondmd
I wonder if this would be a
Member Since: 09/10/13
time to use Misch's progressive
Post: 47 of 71
loading. I don't remember the
details, but you bury it for the first few months, then
put on an HA for a few weeks, then a temporary that's
completely out of occlusion for another few weeks, then
the final restoration. ■
3/15/2018

Impacted
I have run into similar kind
Member Since: 08/30/12
of situations a couple of times
Post: 50 of 71
but luckily I had read posts on
Dentaltown about hollow jaw/medullary space and was
able to make the decision of not placing the implants. It
can happen to anyone. You couldn't diagnose this kind
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