Dentaltown February 2015 - (Page 28)

implant message board Mini Implant Partial Failure and Treatment with PRF in the Anterior Salvaging a mini implant using platelet-rich fibrin (PRF). Dentaltown.com > Message Boards > Implantology > Mini Implants > Mini Implant Partial Failure and Treatment with PRF in the Anterior JoshBrowerDDS Member Since: 11/15/06 Post: 1 of 7 Related Message Boards Standard of Care for Replacing a Molar with Mini Implants. Standard of Care for Replacing Mini Implant Complications Mini Implant Complications I saw some posts about the high failure rate of mini implants and how some practitioners can make them work while others can't. There is a very recent and good article that tested general implantology of general practitioners versus specialists in JADA which found that at least in their study that the failure rate was much higher. I think this can be true for a couple of reasons. Proper postoperative care is always very important from the patient. I believe patients don't take general practitioners as seriously as a specialist when talking about implants and postoperative care since their general practitioner was wrong about how long that "patch" would last. I also think as a general practitioner that we get "talked" into things because we have seen things work that shouldn't have based on our training. Being "talked into something" usually equates into "rushing" the treatment or trying something risky that may make the procedure fail if things don't go perfectly. All that is pure conjecture, but what I came up with after thinking about the article in JADA. Opinions all vary and I would agree with all of them. Here is a case I did where I used an immediate load implant in the anterior that was "new" from Intralock in 2.5mm diameter. I do not blame the implant for the failure. This was purely patient related and part of not taking the informed consent seriously as all patients should. This patient had the implant placed without complication with the new crown and bridge head which was going to have a nice emergence profile and allow for bicortical stabilization. She "needed" something to make it look like a tooth since her Fig. 1 flipper couldn't be adjusted to fit over the implant without breaking it. She refused an essix retainer. The temp was placed on the facial only so cleansing would be easy. The implant placement went well with excellent stability achieved, so an impression was taken. Watch what happened when she came back and what I did. Fig. 2 Emergence profile on placement (Fig. 1) Bicortical stabilization (Fig. 2) Buccal plate broken off and loose from "I couldn't stop pushing on it with my tongue. It was so new and interesting." (Fig. 3) A flap to see the amount of damage from the Fig. 3 Fig. 4 tongue. (Fig. 4) First try patient did not care for PRF area and little was gained. Third pic is healing from that. PRF done again and crown temp placed on to guide tissue growth. Crown touching PRF only. (Fig. 5) Fig. 5 28 FEBRUARY // dentaltown.com http://www.Dentaltown.com http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=181&t=215602&g=1 http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=181&t=220318&g=1 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown February 2015

On Dentaltown.com
Howard Speaks: Podcasts: Basically, They’ll Rock Your World
Professional Courtesy: Tidbits For National Children’s Health Month
Continuing Education Update
Kerr Sonicfi ll Thoughts and Deals
Mini Implant Partial Failure and Treatment with PRF in the Anterior
Industry News
Fundamentals and New Concepts in Impression Taking
Lock in Your Profi t: The Reliable Use of Mini Implants
Office Visit: Hometown Doc is Moving on Up
Giving Patients a Historical Perspective on Fluoride and Vaccines
Posterior Composites and Universal Bonding Agent Applications in the Modern Dental Practice
Denture Troubleshooting: Solving Common Post-Insertion Problems
Pediatric Dentistry: Pulp Therapy and the Stainless-Steel Crown
Poll
New Products
On the Road Again: Learning More About Your Dental Supply Reps
Ad Index
How Do We Get More Patients?
CBCT? Which One? Beating a Dead Horse One More Time.
You Should Know: Cinema ProMED
Dentally Incorrect

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