Thoughts?

[2thm8kr]

The socket was totally healed. What appears now like the socket is where bone was destroyed after the implant placement, and it mimics the original socket. It took place in two weeks. No smoking, no diabetes.

Got a x-ray of the healed site prior to placement?

 

[KentPWalton]

Just out of curiosity. Why are we dental technicians worried about an issue that should be resolved by the clinician that is responsible for treatment planning, surgery, and post op care? Isn't this why he charges what he charges? All of the responsibility is on him in this right? Just asking questions. Still a lot of questions to help understand the situation.

 

[2thm8kr]

Just out of curiosity. Why are we dental technicians worried about an issue that should be resolved by the clinician that is responsible for treatment planning, surgery, and post op care? Isn't this why he charges what he charges? All of the responsibility is on him in this right? Just asking questions. Still a lot of questions to help understand the situation.

Some of us are involved/responsible for treatment/surgical planning.
Also it is a good idea to be knowledgeable of the things that happen on the other side of the fence.

 

[user name]

Could be as simple as when the implant was unwrapped, the assistant wasnt wearing a mask and sneezed on it.

 

[JMN]

Could be as simple as when the implant was unwrapped, the assistant wasnt wearing a mask and sneezed on it.

You have no idea how often I want to scream for those exact oversights. I have yet to walk into a office that followed all sane anti-contamination protocols.

Like at least rinsing off a RPD that came from a guy that works on dozens a month that have been in dozens of mouths. Yeah, I sanitize before they go out, but they also go into a delivery container that while new was not sterile and are handled by at least one person to get on the tray that sits uncovered before the patient gets in the chair.

Sorry. Rant over.

 

[karabear]

Has the patient been on bisphosphonates?

No

 

[karabear]

Could be as simple as when the implant was unwrapped, the assistant wasnt wearing a mask and sneezed on it.

Sneaky bugs

 

[PDC]

Could’ve been a lot of things. Did GP or Oral surgeon place it? Seems like everybody is an implant specialist these days. Maybe site was overheated with drill during placement. Who knows and who would confess? Maybe nobody’s fault. Poor bone density or autoimmune response. Patient should get second and maybe third opinion on possible causes and remedies with experienced specialists.

 

[lcmlabforum]

Some of us are involved/responsible for treatment/surgical planning.
Also it is a good idea to be knowledgeable of the things that happen on the other side of the fence.

I would be extra careful to get involved in any clinical discussion. I won't even do that in a state I am not licensed in
for fear of getting accused of 'practicing dentistry without a license'.
Personally, if something has failed 2x, a Cone Beam CT that is able to provide an Hounsfield unit reading would be what
I would seriously consider.
FWIW,
LCM

 

[2thm8kr]

I would be extra careful to get involved in any clinical discussion. I won't even do that in a state I am not licensed in
for fear of getting accused of 'practicing dentistry without a license'.
Personally, if something has failed 2x, a Cone Beam CT that is able to provide an Hounsfield unit reading would be what
I would seriously consider.
FWIW,
LCM

I never discuss anything with the patients, ever. I submit the plans to the clinician/surgeons for revisions and approval.

 

[JMN]

I never discuss anything with the patients, ever. I submit the plans to the clinician/surgeons for revisions and approval.

Absolutely. Where is the line between planning and telling office staff how not to mess it up. There really isn't one. As long as the pt is not getting diagnosis or treatment by you, you are not practicing. You are supporting.

 

[2thm8kr]

Absolutely. Where is the line between planning and telling office staff how not to mess it up. There really isn't one. As long as the pt is not getting diagnosis or treatment by you, you are not practicing. You are supporting.

I was always the first to b!tch about implant placements. I decided to try and do something about it.

Really all I am doing is making a technician's perspective as to where the implants should be for a successful outcome aesthetically speaking.
The surgeon tells me where to tweak the implants for the best positioning using their training and experience.

 

[JMN]

I was always the first to b!tch about implant placements. I decided to try and do something about it.

Really all I am doing is making a technician's perspective as to where the implants should be for a successful outcome aesthetically speaking.
The surgeon tells me where to tweak the implants for the best positioning using their training and experience.

Yeap, put it here for maximum ease of prosthetic production and aesthetic outcome. That is all.

 

[JMN]

Some of us are involved/responsible for treatment/surgical planning.
Also it is a good idea to be knowledgeable of the things that happen on the other side of the fence.

And it's also scary how few of these guys sinking implants know about the murder artery at the mandible midline.

 

[grantoz]

did i get this right someone used planning software but didnt use a surgical guide and then cant understand why it wasnt in the correct place and then it failed.Am i missing something.i have been asked many times will i do implant planning i have refused just as many times i checked with my lawyers what are the consequences if i do .they said even if you get the dentist to check it off the lawyers will still come after you it will cost you money either way even when its not your fault as you will have to defend it in court.

 

[2thm8kr]

 

[CoolHandLuke]

This is a two week post-op of a failed implant. The implant is basically being held in place by a thin piece of tissue at the gum line and was able to be removed with a gentle tug.
1. With implant planning software, why doesn’t the angle of the implant seem ideal, even with plenty of bone present?
2. Why did the bone loss after placement occurr in the same area as the original tooth, which had been removed 6 months prior?



https://share.icloud.com/photos/0rcHQyubpjuPC-pZny3HrqoHA#Raleigh,_NC

in the interests of full disclosure it is probable that some of the following may have occurred:

the implant is a cheap knockoff of a name brand, however being a cheap knockoff contained no HA, ablation, or porous surface coating to promote osseointegration

the implant was contaminated before placement

the tissue and bone was not treated correctly during placement (blood removed / coolant used on the drill)

the drill may have been untreated for surgical use or made of low grade nickel based metals leading to cell death

patient may have eaten or drank no solid food to excersize the jaw and circulation stopped leading to decay at the site (but this is a stretch, as this process takes a while even in actively silent or mute persons)

when the implant was placed it pinched a blood vessel leading to immediate site decay

 

[user name]

@CoolHandLuke
Well Stated.

 

[2thm8kr]

 

[CoolHandLuke]