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    Sometimes.....

    Discussion in 'Implants' started by CatamountRob, Oct 28, 2016.

    1. CatamountRob
      Dead

      CatamountRob Banned Member Full Member

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      I just don't understand what they are thinking when they place these.

      [​IMG][/URL]

      [​IMG][/URL]
       
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    2. 2thm8kr
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      2thm8kr Beanosavedmysociallife Full Member

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      They are thinking that they know what they are doing. :confused:
       
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    3. Tayebdental
      Cheerful

      Tayebdental Tayeb S. CDT Donator Full Member

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      It's a PITA when they place NP in a soccer field and ask to maintain contacts with adjacent dentition . Then when you ask your docs why.. ?, they say, well the surgeon is restricted of what they have of bone structure. Hey it's up to us to do miracles. After all we are dental magiciansHmmmm2
       
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    4. RJS8669

      RJS8669 Active Member Full Member

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      I guess he was out of minis...
       
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    5. rkm rdt
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      rkm rdt Well-Known Member Donator Full Member

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      At least it's in the center of the ridge.
       
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    6. Car 54
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      Car 54 Well-Known Member Donator Full Member

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      It looks like it's around a 3.5. At least if they would have been able to place a 4.5, could've helped?
      Or, does the length of a implant, make more of a difference than the width, regarding strength and integration?
       
    7. CatamountRob
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      CatamountRob Banned Member Full Member

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      It's an Ankylos implant, it probably is 3.5ish. He wants no tissue displacement but it wouldn't help much if he did because it isn't very deep.
       
    8. kcdt

      kcdt Well-Known Member Full Member

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      Continuing proof that higher education cannot cure idiocy.
       
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    9. CatamountRob
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      CatamountRob Banned Member Full Member

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      Not the same case, but......

      Dr.: I can't get it seated and I don't think this is the correct size abutment for this implant. See how it isn't the same size as the healing cap?

      Me: Its the correct abutment for the analog you gave me. I called xxxxxxx and gave them the analog part # and asked for the correct abutment.

      Dr. :
       
    10. 2thm8kr
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      2thm8kr Beanosavedmysociallife Full Member

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      Dr.:Hmmmm2
       
    11. Affinity
      Question

      Affinity Well-Known Member Full Member

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      I have one just like this.. implant logistics 200.. Going to do a custom abutment in Ti, I will try to post some pics.
       
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    12. doug
      Inspired

      doug Well-Known Member Donator Full Member

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      I would guess that a surgeon placed that. They have no understanding of the process, just how to put it where the most bone is. I'd also bet that that implant was sitting on the shelf and, well, since it was paid for a long time ago, why not get the money out of it. Yeah, I'm a bit cynical, but after all of these years it's become second nature. That's team work without a team.
       
    13. aqdental
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      aqdental Active Member Full Member

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      A quadrant impression as well.....
       
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    14. Baobabtree
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      Baobabtree Member Full Member

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      Cantilever bridge requested
       

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    15. CatamountRob
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      CatamountRob Banned Member Full Member

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      I've done so many 3-unit bridges on quadrant models that I don't even bat an eye at a single unit implant case with a posterior tooth for a stop.
       
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    16. Affinity
      Question

      Affinity Well-Known Member Full Member

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    17. rkm rdt
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      rkm rdt Well-Known Member Donator Full Member

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      Banghead
       
    18. Car 54
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      Car 54 Well-Known Member Donator Full Member

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      Just remade one last week due to breaking the top of the abutment off. It wan't quite as extreme as your photo, but along the same line, overextending to fill in the space.

      The Dr placed the implant. This is the 2nd one he has placed like this. The 1st one I "refused" to close the space. It ended up in being for a engineer, who understood my concerns of fulcrum and occlusal forces, and was ok with it. That case is still doing well.

      On this remake, he said to charge him full price, and to make it narrower (a canoe) and light occlusion, and if this one fails, we will do the 3rd one and not close the space, like we did the other patient. He did say I would be charging him full price, if it was needed. At least he is realistic in that regard, as far as my time and labor. Poor patient, though. Possibly 3 times for 1 implant :(
       
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    19. 2thm8kr
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      2thm8kr Beanosavedmysociallife Full Member

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      This always gets me, lighter occlusion. As soon as the patient bites something it will be in occlusion.
      If it is narrower than it is just a narrower lever, but still a lever.
      You should keep refusing my friend, seems you have the better judgment in that relationship.
       
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    20. Car 54
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      Car 54 Well-Known Member Donator Full Member

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      I've always wonder about that one, too...light occlusion, as when food gets in that space, it's under load o_O

      Thanks for the kind word, 2th :)
       

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