Dentaltown August 2019 - 41

or regenerative. If there are infrabony walls, like a mote defect, then you can attempt to "fill"
the defect. This does not imply you will necessarily get reosseointegration, but it will prevent
epithelial downgrowth. If the bony defect is missing a buccal and/or lingual wall, then bone fill is
less predictable. This may be better served with implant removal and repair of the osseous defect.
If you have a bone defect that you can fill, then the implant must be cleaned and detoxified. I
use tetracycline and air abrasion with glycine powder. If I am treating a difficult-to-clean surface
(like TiUnite), then I use a titanium brush.
The defect can be filled with different graft products. My preference is particulate autograft,
but if that's not readily available I will consider mineralized allograft or bovine bone mineral.
The grafted defect is covered with a collagen membrane. Some studies have shown better outcomes if you resubmerge the implant. Hope that helps. ■

4/10/2019

I didn't expose the entire area when I placed the healing cap, but I did make a crestal incision
and expose the implant, and I didn't see any bone loss buccal or lingual. I didn't extend the flap
to see enough mesial and distal, but I didn't notice any osseous defects anywhere, which is what
is throwing me about this case. ■

6D1R3
Member Since: 03/02/06
Post: 19 of 87

4/10/2019

Based on the radiograph, I guarantee if you reflect a flap and expose the entire ridge, you
will find a circumferential bone defect. That is the anatomy of peri-implant bone loss due to the
soft tissue interface. ■

florida gator doc
Member Since: 07/10/05
Post: 20 of 87

4/10/2019

FREE FACTS, circle 16 on card

dentaltown.com \\ AUGUST 2019

41



http://www.misch.com http://www.dentaltown.com

Dentaltown August 2019

Table of Contents for the Digital Edition of Dentaltown August 2019

Dentaltown August 2019 - Intro
Dentaltown August 2019 - Cover1
Dentaltown August 2019 - Cover2
Dentaltown August 2019 - 1
Dentaltown August 2019 - 2
Dentaltown August 2019 - 3
Dentaltown August 2019 - 4
Dentaltown August 2019 - 5
Dentaltown August 2019 - 6
Dentaltown August 2019 - 7
Dentaltown August 2019 - 8
Dentaltown August 2019 - 9
Dentaltown August 2019 - 10
Dentaltown August 2019 - 11
Dentaltown August 2019 - 12
Dentaltown August 2019 - 13
Dentaltown August 2019 - 14
Dentaltown August 2019 - 15
Dentaltown August 2019 - 16
Dentaltown August 2019 - 17
Dentaltown August 2019 - 18
Dentaltown August 2019 - 19
Dentaltown August 2019 - 20
Dentaltown August 2019 - 21
Dentaltown August 2019 - 22
Dentaltown August 2019 - 23
Dentaltown August 2019 - 24
Dentaltown August 2019 - 25
Dentaltown August 2019 - 26
Dentaltown August 2019 - 27
Dentaltown August 2019 - 28
Dentaltown August 2019 - 29
Dentaltown August 2019 - 30
Dentaltown August 2019 - 31
Dentaltown August 2019 - 32
Dentaltown August 2019 - 33
Dentaltown August 2019 - 34
Dentaltown August 2019 - 35
Dentaltown August 2019 - 36
Dentaltown August 2019 - 37
Dentaltown August 2019 - 38
Dentaltown August 2019 - 39
Dentaltown August 2019 - 40
Dentaltown August 2019 - 41
Dentaltown August 2019 - 42
Dentaltown August 2019 - 43
Dentaltown August 2019 - 44
Dentaltown August 2019 - 45
Dentaltown August 2019 - 46
Dentaltown August 2019 - 47
Dentaltown August 2019 - 48
Dentaltown August 2019 - 49
Dentaltown August 2019 - 50
Dentaltown August 2019 - 51
Dentaltown August 2019 - 52
Dentaltown August 2019 - 53
Dentaltown August 2019 - 54
Dentaltown August 2019 - 55
Dentaltown August 2019 - 56
Dentaltown August 2019 - 57
Dentaltown August 2019 - 58
Dentaltown August 2019 - 59
Dentaltown August 2019 - 60
Dentaltown August 2019 - 61
Dentaltown August 2019 - 62
Dentaltown August 2019 - 63
Dentaltown August 2019 - 64
Dentaltown August 2019 - 65
Dentaltown August 2019 - 66
Dentaltown August 2019 - 67
Dentaltown August 2019 - 68
Dentaltown August 2019 - 69
Dentaltown August 2019 - 70
Dentaltown August 2019 - 71
Dentaltown August 2019 - 72
Dentaltown August 2019 - 73
Dentaltown August 2019 - 74
Dentaltown August 2019 - 75
Dentaltown August 2019 - 76
Dentaltown August 2019 - 77
Dentaltown August 2019 - 78
Dentaltown August 2019 - 79
Dentaltown August 2019 - 80
Dentaltown August 2019 - 81
Dentaltown August 2019 - 82
Dentaltown August 2019 - 83
Dentaltown August 2019 - 84
Dentaltown August 2019 - 85
Dentaltown August 2019 - 86
Dentaltown August 2019 - 87
Dentaltown August 2019 - 88
Dentaltown August 2019 - 89
Dentaltown August 2019 - 90
Dentaltown August 2019 - 91
Dentaltown August 2019 - 92
Dentaltown August 2019 - 93
Dentaltown August 2019 - 94
Dentaltown August 2019 - 95
Dentaltown August 2019 - 96
Dentaltown August 2019 - 97
Dentaltown August 2019 - 98
Dentaltown August 2019 - 99
Dentaltown August 2019 - 100
Dentaltown August 2019 - 101
Dentaltown August 2019 - 102
Dentaltown August 2019 - 103
Dentaltown August 2019 - 104
Dentaltown August 2019 - Cover3
Dentaltown August 2019 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com