Discussion in 'Implants' started by CatamountRob, Oct 28, 2016.
I just don't understand what they are thinking when they place these.
They are thinking that they know what they are doing.
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 magicians
I guess he was out of minis...
At least it's in the center of the ridge.
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?
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.
Continuing proof that higher education cannot cure idiocy.
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.
I have one just like this.. implant logistics 200.. Going to do a custom abutment in Ti, I will try to post some pics.
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.
A quadrant impression as well.....
Cantilever bridge requested
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.
Here are some pics of the case I mentioned earlier.
'Screwment-retained' Implant One custom Ti and a 030 sagemax cherry on top.
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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
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.
I've always wonder about that one, too...light occlusion, as when food gets in that space, it's under load
Thanks for the kind word, 2th
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