Capital Study Club Welcomes Dr. David Garber

Reminder: Lecture is on Wednesday at 6pm.

I look forward to seeing everyone there! 

Trabecular Metal Implant Insertion: Site #14

Patient is a 67 year old female with a history of pharmacologically controlled hypertension and hypothyroidism.

Tooth #14 was removed approximately 6 months previously due to the presence of pain and a firm buccal alveolar swelling of 2 month duration.  Due to the anatomic position of the zygomatic process in this patient, plain radiography was of minimal diagnostic value.  Cone beam CT confirmed periradicular pathology.  Root fracture was suspected preoperatively and was confirmed the day of tooth removal.

The large defect was grafted with mineralized particulate allograft using a guided bone regeneration technique.

Patient was treatment planned for a dental implant at site #14 with a closed sinus lift after a 6 month healing period. 

 Tooth #13 is treatment planned for a new restoration.
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Preoperative coronal cone beam image of tooth #14 demonstrating a large well contained periapical lesion along the floor of the maxillary sinus.

6 month postoperative periapical radiograph illustrating the appearance of the grafted area.

At surgery, bone was noted to be dense (D1).

Final sinus lift osteotome used to depth (~13mm).

4.7mm x 11.5mm Zimmer Trabecular Metal Implant.

Implant insertion torque value was greater than 35 Ncm.

Osstell reading was taken to determine implant stability.

 Osstell ISQ implant stability value was 75 at insertion.  

(For reference, implants that are ready for final restoration will typically have an ISQ value of 65 or greater.)

Implant at final depth.

Palatal tissue was contoured to accept healing abutment using a rotary tissue punch.

The highlight of my trip to Parsippany, NJ!  I thoroughly enjoyed it.

Greg Tice and Dr. Cohen Lecture 2012

Greg gave one of the most engaging full team talks I have attended.  

Only a truly great speaker can make both Gestalt psychology AND Teleology entertaining!

Thanks Greg.

Below is the 'Cajun Care Package' we will be sending both Dr. Cohen and Greg.  

No pigs lips for Dr. Cohen.  You have to be there in person to get the pigs lips!

2012 Seattle Study Club Symposium

2012 SSC Symposium: The Compleat Clinician

Click the picture above to view other photos.

Thursday Night Movies: Restorative or Orthodontics?

Thank you Dr. Akin and Caroline for hosting another wonderful evening. Awesome program and discussion afterwards.

One of the cases we discussed was the supereruption of the upper and lower anterior segments, which can occur either with or without loss of vertical dimension. I thought it might be interesting to see what one of these cases looks like from a restorative approach, without orthodontic intervention.

Although this case had no indication of diminished vertical, VDO was increased slightly with the restorative treatment. This patient had osseous crown lengthening in both upper and lower anterior (thank you, Dr. Legleu!)

If the teeth need to be restored because of structural deficiencies, color or shape issues, this type of patient will be better served with restorative and periodontal treatment. If the teeth are sound and the patient is satisfied with color and shape, orthodontic treatment is a much better solution. Sometimes both approaches are appropriate, and the combination ortho, perio, and restorative may mean that fewer teeth will need to be restored.

Night at the Moview 2012!

I hope everyone had a great Christmas and New Years!

Reminder

To start our new year of camaraderie and collaborative learning, we will be screening 2 movies at my office on January 12th.

 The first video is a phenomenal treatment planning session from the 2011 SSC Symposium featuring Dr. Kokich, a world renowned orthodontist.

But, it gets better!  Next is the keynote address given by Dr. Nido Qubein from the 2011 Seattle Study Club Symposium.  He is an incredible person and this is worth the price of admission alone.

Starts at 6pm sharp!