Dentaltown August 2019 - 43
overheating of bone by using potentially old and dull burs. Then, no matter what implant I
placed, it would not have made a difference. ■
5/30/2019
The patient was in today to remove the membrane. Before I even took a look, she said she
was by her orthodontist yesterday and he was roughly adjusting her retainer that didn't fit and
the membrane came out yesterday. The good news is that the membrane stayed in for four
weeks; I just don't know if it was loose and not functioning properly, or if the graft washed out
from under it. At this point we will wait another two months and then take another X-ray and
go from there. ■
6D1R3
Member Since: 03/02/06
Post: 76 of 87
5/31/2019
With the IA canal so far down, you might be able to put in a 13-15mm implant. If you're
concerned about overheating, chill your saline slightly in the fridge. Drill inside bone for no
longer than four seconds at a time, per Misch. Don't forget to drop the RPM as you go to a
thicker drill bit. I, personally, do two seconds, pull out, let the drill run and squirt saline into
the osteomy to cool it down, repeat drilling as I go down slowly to depth.
Your outcome isn't a failure, just not the ideal result. Restore and move on. Give her a
discount on the next one, and consider this one part of your training cost. Light to no occlusion
to preserve life of the implant.
Put your finger on the buccal of the crown as she pretends to chew. Make sure you do not
feel a major thump on the tooth, compared to the adjacent teeth. Design your restoration well
and you can overcome this setback. The implant can still last many, many years. ■
TeerachaiDDS
Member Since: 12/05/12
Post: 78 of 87
5/31/2019
Read more opinions about
this complicated case online
How does your interpretation of the data compare
to that of your fellow Townies? To follow this entire
conversation and be notified about updates, go to
dentaltown.com and under message boards, search
"Failure?" This thread will be one of the top results.
dentaltown.com \\ AUGUST 2019
43
https://www.dentaltown.com/messageboard/thread.aspx?s=2&f=123&t=327477&g=1
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Dentaltown August 2019
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