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    Need Help With case

    Discussion in 'Implants' started by J Pierce, Nov 11, 2016.

    1. J Pierce

      J Pierce Active Member Full Member

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      Hi All! The doc placed 3.0 conical implants in 22, 25 and 27 locations and wants a bar retained over denture. Since Nobel does not manufacture bars on 3.0 what are my options? I know I can wax/cast a bar ,but would rather not.. Any suggestions would be appreciated.. Thanks
       
    2. JohnWilson

      JohnWilson Moderator Staff Member Full Member

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      You can not wax and cast unless you are planning on destroying the hex on those parts since they do not make a non eng gold adapt>

      You also know this fixture is contra indicated for anything other than single units in the lower incisors and or max lateral position. Never fear you are not alone, plenty of ill informed non restoratively driven or knowledgeable surgeons have done the same thing.

      With that said if you have no choice to do a bar I would sent it to Bernard at Panthera Dental, he will hit a home run for you, Just protect yourself and document everything and explain the contraindication so that perhaps one more person will not have to see a bastardized case such as this in the future.
       
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    3. J Pierce

      J Pierce Active Member Full Member

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      Thanks JW! I did realize I would have to "hack the hex" but was dreading having to wax/cast this. I haven't cast a bar in over 15 years and don't want to start now!! I will call Bernard today.. thanks again! Jim
       
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    4. sidesh0wb0b
      Sleepy

      sidesh0wb0b Well-Known Member Full Member

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      run, or panthera.
      charge appropriately!
       
    5. J Pierce

      J Pierce Active Member Full Member

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      Well said! I am sending to Panthera!
       
    6. kcdt

      kcdt Well-Known Member Full Member

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      Can I say how f***king sick I am of dbags placing fixtures with no regard to planning for outcome?
      Christ on a cracker, it's not like nobody's worked out proper protocols.
       
    7. TheLabGuy

      TheLabGuy Just a Member Full Member

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      Big shout out here, couldn't agree more!!!
       
    8. kcdt

      kcdt Well-Known Member Full Member

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      Is it just me, or do the ones who gravitate towards the clones seem to love to skip protocols. Anything to squeeze every penny out if it they can get.

      At least till it goes completely off the rails...
       
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    9. 2thm8kr
      Devilish

      2thm8kr Beanosavedmysociallife Full Member

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      Well then you can blame the technician.
       
    10. kcdt

      kcdt Well-Known Member Full Member

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      Oh yeah, they hold that class freshman year first semester.
       
    11. 2thm8kr
      Devilish

      2thm8kr Beanosavedmysociallife Full Member

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      You're on a tear lately.:)
       
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    12. TheLabGuy

      TheLabGuy Just a Member Full Member

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      I can see some truth/trend to that for sure. What gets me is when a gd refers to a surgeon who blatantly sucks at placement...then we lab guys always keep having to be the bad guy, "sorry gd doc, no options for this platform, or can't do that due to that placement, or sorry about aesthetics", I could keep going.
       
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    13. rkm rdt
      Artistic

      rkm rdt Well-Known Member Donator Full Member

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      Preaching to the choir.
      I like Lab Guy's idea of charging more for unguided cases.

      If the big implant companies won't cover warranties for 3rd party components then maybe it's time we apply the same policy.

      No guide ,no warranty.
       
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    14. J Pierce

      J Pierce Active Member Full Member

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      Its crazy how these guys "plan" big cases without consulting the person that will be actually building the case!!!!? I am fortunate to have docs that actually want and appreciate our input from the very beginning!
      And yes, I have noticed that the knockoff docs are extremely "thrifty"!!
       
    15. kcdt

      kcdt Well-Known Member Full Member

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      Its the two front teeth season. Too busy and a ****load of poorly thought out cases.
      Today I set an immediate lower to one of the most ridiculous roller coasters I've ever encountered. As there was no posterior support, 6-11 are worn through. The bicuspid and molars a collection of sheered off pfm and blown out decay.
      To top it off, he wanted a clear copy for surgery. WTF
       
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    16. droberts
      Energetic

      droberts Well-Known Member Full Member

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      Here is an example of another 3.0 mistake. Oral surgeon placed three 3.0 Astra Ev's not knowing that there is no Locator abutment available.
      So I took three healing caps, milled them, and laser welded and polished the Ti Locator abutment to them.
      IMG_3698.jpg
       
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    17. 2thm8kr
      Devilish

      2thm8kr Beanosavedmysociallife Full Member

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      Hope you charged accordingly.
       
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    18. JKraver
      Tired

      JKraver Well-Known Member Full Member

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      Better of spanked him good.
       
    19. JKraver
      Tired

      JKraver Well-Known Member Full Member

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      Those are pretty sweet, amazing work.
       
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    20. J Pierce

      J Pierce Active Member Full Member

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      Love it!!
       

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