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the mentorship program

  • Implant Cases
  • Prosthetic Styles
  • Sinus Tenting Cases
  • Solving Implant Difficulties

 

CASE #1
Four Immediately Placed Implants For Single Crowns With Two Veneers


       

CASE #2
Space Regaining Prior To Implant Placement

 

CASE #3
Bilateral Maxillary Anterior Implant Supported Bridges and Natural Crowns

 

CASE #4
Multi-Unit Partially Dentate/Restoration Intermediate 1 Stage Surgery
8 Implants and 4 Separately Placed Staged Implants

 

CASE #5
Flapless Immediate Load Single Implant Supported Crown

 

CASE #6
A Single Flapless Implant Placement In The Aesthetic Zone

 

Below are Prosthetic Styles from Dr. Fox's Case Loads.

 

  STYLE #1
12 Single Crowns Implant Supported



STYLE #2
4 Single Implant Supported Crowns &
2 Implant Supported Bridges


 
     
  STYLE #3
Style Changed From Locators To
Custom Abutments For Fixed Bridge


STYLE #4
Five Locators For Over Denture


 
   

Sinus Tenting: Six Cases Reviewed

Certain considerations need to be made while planning to augment compromised sites in the posterior maxilla, specifically:

  1. need a good diagnostic x-ray (minimum 5 mm residual bone) confirm height by measuring lengths of adjacent roots;),
  2. need to stay 1 to 2 mm. short of the sinus cortex (during rotary preparation),
  3. need good osteotomes which must be used in sequence. Use condensing/cutting osteotomes progressively from 2mm to final implant diameter,
  4. use a MFDBA (mineralized freeze-dried bone allograft) in order to add more cell attachment sites and to maintain volume of bone fill with Accell Connexus, and so it shows up radiographically,
  5. tease the sinus membrane gently with a sinus membrane elevator that has up to a 90 degree angulation in order to release the Schneiderian Membrane, rather than ‘lifting’ it. Condense and allow graft material to act as buffer. Condense material with large osteotome and pack until resistance is felt,
  6. Place fixture.

 

  SINUS TENTING CASE #1
This case could have succeeded
without augmentation as well.


SINUS TENTING CASE #2
Good results in a staged augmentation bilaterally, with several prep holes for
a wider range of access. This case took
2 years to complete.


 
     
  SINUS TENTING CASE #3
Four year post op reveals
excellent mineralization


SINUS TENTING CASE #4
Particularly outstanding results
in the upper left quadrant


 
     
  SINUS TENTING CASE #5
This case could have succeeded
without augmentation as well.
SINUS TENTING CASE #6
Prosthetic view is one year later,
with fully torqued abutments.
 

     
  SINUS TENTING CASE #7
 
   
     

Below are a series of Implant Failures/Difficulties from Dr. Fox's Case Loads.



  IMPLANT FAILURE #1
Fractured Implant - Retreated
IMPLANT FAILURE #2
Severe Bone Loss - Patient Was
Heavy Smoker


 
     
  IMPLANT DIFFICULTY #3
Do Not Always Rely On One X-Ray

IMPLANT FAILURE #4
Idiopathetic Failure - Observe
6 Month Decline


 
     
  IMPLANT FAILURE #5
Minimal Crestal Bone Loss Can
Be Repaired


 
   

 

 
For Full Details call Dr. Allan Fox at 416.992.7205 YOUR PRACTICE. OUR EXPERIENCE.