Cement sepsis – What is it? Cement sepsis is an infection and inflammation caused by dental cement being left around the crown abutment margin. The body doesn’t like the rough surface as it harbors bacteria. Since the body can not expel it, bone resorbs as an attempt to get away. Left untreated it can cause […]
Dental code cement sepsis and dental code peri-implantitis charges What are charges and codes for cement sepsis? There are two ways you could remove the cement from a dental implant. One way is to flap the area and fully debride the area. The other way it to access the screw and remove the crown/abutment as […]
Cement sepsis causes possible loss of dental implant Case of the week I’ve spoken about this topic many times before and covered the techniques required to avoid it. If the problem is discovered early I can save the implant without much issue at all, like I did here. Today I saw a case of cement […]
Case of the week Painful implant with bone loss (peri-implantitis) Peri-implantitis Click for larger view Liz had trouble, more specifically pain, around this implant ever since the crown was put on. After the original dentist (the one that placed the crown on the implant) couldn’t help her, the surgeon that placed the implant referred her […]
Cement implant crown Get a custom abutment (or stock for the rare case that the margins are above the tissue) and have the lab leave all margins but the esthetically critical areas ABOVE the gum line. In esthetic areas have them place the margin just barley below the gum line. Most people bury the lingual […]
I used to use Emax nearly exclusively in the posterior. My protocol is 1) try in, floss etc..- 2)pa or bwx to confirm seat. 3) Ivoclean the internal aspect of the restoration for ten seconds, rinse and dry 4) Silane 5) Rely X unicem 2 if the crown is > 1.5mm thick, quick tac […]
What are some common dental implant problems? Loose dental implant abutment screw This one is a fairly easy fix unless in the front of the mouth and access to the screw is not straight forward. The hard part is figuring out why the screw is loose. Most often it is a lateral excessive contact. The […]
What is the dental code for a loose implant screw? Often a loose screw can be a bit nerve racking for us dentists. Is it just the screw? We hope so!! If the implant is loose, it’s obviously a much bigger problem. To find out for sure we may need to drill through the crown […]
Bridge or Implant (after a failed implant)? Case of the week A failed implant can be a MAJOR PIA for the patient, the doctor that placed the implant, and the restoring doctor (if different). First off, there is the question of who’s fault is it? Was the implant placed properly in the bone? Was there […]
<–Step 4 Step 5 for full mouth dental rehabilitation Step 6–> Appointment time 1 carp palatal apex of 2nd PM Removal temps. Hemostat IP and the temps “pop” off. Sometimes it is a somewhat loud crack or crunch sound so warn the patient of it before you do it, if aggressive preps may need to […]
