OsseoNews: Comments on Dental Implants http://www.osseonews.com OsseoNews.com is a leading resource for information on dental implants. Sat, 05 Jul 2008 23:33:39 +0000 http://wordpress.org/?v=2.0.5 http://www.osseonews.comhttp://www.osseonews.com/wp-content/themes/osseonews/images/logo.jpgOsseoNews.com716752http://www.feedburner.comSubscribe with My Yahoo!Subscribe with NewsGatorSubscribe with My AOLSubscribe with RojoSubscribe with BloglinesSubscribe with NetvibesSubscribe with GoogleSubscribe with PageflakesHere you will find the latest comments on dental implants from readers of OsseoNews.com Comment on MELISA Test for Hypersensitivity to Metals: Should This Be Routine Prior to Implant Surgery? by Linda Nelson http://www.osseonews.com/melisa-test-for-hypersensitivity-to-metals/#comment-46031 Sat, 05 Jul 2008 23:09:48 +0000 http://www.osseonews.com/melisa-test-for-hypersensitivity-to-metals/#comment-46031 The link to the articles are here Hypersensitivity to titanium: Clinical and laboratory evidence http://www.melisa.org/pdf/Hypersensitivity%20to%20titanium.pdf Clinical and laboratory evidence and LTT-MELISA® is clinically relevant for detecting and monitoring metal sensitivity http://www.melisa.org/pdf/MELISA%20is%20clinically%20relevant.pdf The link to the articles are here

Hypersensitivity to titanium: Clinical and laboratory evidence
http://www.melisa.org/pdf/Hypersensitivity%20to%20titanium.pdf

Clinical and laboratory evidence and LTT-MELISA® is clinically relevant for detecting and monitoring metal sensitivity
http://www.melisa.org/pdf/MELISA%20is%20clinically%20relevant.pdf

]]> Comment on Bio-Oss: Mix Small and Large Particle Sizes? by R. Hughes http://www.osseonews.com/bio-oss-mix-small-and-large-particle-sizes/#comment-45972 Sat, 05 Jul 2008 03:42:18 +0000 http://www.osseonews.com/bio-oss-mix-small-and-large-particle-sizes/#comment-45972 Bio Oss may be a little to hard on the lymphatics (takes too long to turn over) , consider using Osteogen (densely packed) Bio Oss may be a little to hard on the lymphatics (takes too long to turn over) , consider using Osteogen (densely packed)

]]> Comment on Straumann Announces Bone Level Implant by Albert Hall http://www.osseonews.com/straumann-announces-bone-level-implant/#comment-45971 Sat, 05 Jul 2008 03:34:14 +0000 http://www.osseonews.com/straumann-announces-bone-level-implant/#comment-45971 Too late....I do not beleive european colleagues will change rapidly. It is other implant world Too late….I do not beleive european colleagues will change rapidly.
It is other implant world

]]> Comment on Nobel Biocare Shares Fall To Record Low by Albert Hall http://www.osseonews.com/nobel-biocare-shares-fall-to-record-low/#comment-45970 Sat, 05 Jul 2008 03:21:27 +0000 http://www.osseonews.com/nobel-biocare-shares-fall-to-record-low/#comment-45970 Expected !!!!They agressiveley tried to hurt other companies extending credit lines and "buying" doctors with "gifts".... Many changes should be happen.....especially in non-significative Markets Expected !!!!They agressiveley tried to hurt other companies extending credit lines and “buying” doctors with “gifts”….
Many changes should be happen…..especially in non-significative Markets

]]> Comment on Ridge Augmentation by R. Hughes http://www.osseonews.com/ridge-augmentation/#comment-45969 Sat, 05 Jul 2008 03:14:38 +0000 http://www.osseonews.com/ridge-augmentation/#comment-45969 CORRECTION: Makes it a 5 walled defect vs a 1 wall defect. CORRECTION: Makes it a 5 walled defect vs a 1 wall defect.

]]> Comment on High Costs for Implant Screws for Orthodontic Anchorage: How to Manage? by R. Hughes http://www.osseonews.com/high-costs-for-implant-screws-for-orthodontic-anchorage-how-to-manage/#comment-45968 Sat, 05 Jul 2008 03:11:45 +0000 http://www.osseonews.com/high-costs-for-implant-screws-for-orthodontic-anchorage-how-to-manage/#comment-45968 Some times ther is just too much infection, inflammation and just bad biology on the patients part. There could of been additional canals that your Dr. could not see, heck even the endodontist do not always find all tha canals. Endodontics is far from a perfect science, but that is the way it is. It's too bad but things happen. Some times ther is just too much infection, inflammation and just bad biology on the patients part. There could of been additional canals that your Dr. could not see, heck even the endodontist do not always find all tha canals. Endodontics is far from a perfect science, but that is the way it is. It’s too bad but things happen.

]]> Comment on Wrinkle Appearance on the Labial Gingival at Implant Site: Recommendations? by Dr SDJ http://www.osseonews.com/wrinkle-appearance-on-the-labial-gingival-at-implant-site-recommendations/#comment-45937 Fri, 04 Jul 2008 18:43:55 +0000 http://www.osseonews.com/wrinkle-appearance-on-the-labial-gingival-at-implant-site-recommendations/#comment-45937 Wow! This ones got a wide array of treatment options from Laser surgery to scalpel surgery to massage! :) Wow! This ones got a wide array of treatment options from Laser surgery to scalpel surgery to massage! :)

]]> Comment on Suture Lost Exposing the Implant: What to Do? by R. Hughes http://www.osseonews.com/suture-lost-exposing-the-implant-what-to-do/#comment-45934 Fri, 04 Jul 2008 18:04:04 +0000 http://www.osseonews.com/suture-lost-exposing-the-implant-what-to-do/#comment-45934 We all started as beginners. Get more training, as much as you have time for. The AAID Maxi courses or the Misch are ageat places to start. Get credentials from the AAID. This helps alot. For the most part, if you are dedicated you can learn the material and techniques. R. Hughes, D.D.S., FAAID, FAAIP, Dipl. ABOI/ID We all started as beginners. Get more training, as much as you have time for. The AAID Maxi courses or the Misch are ageat places to start. Get credentials from the AAID. This helps alot. For the most part, if you are dedicated you can learn the material and techniques. R. Hughes, D.D.S., FAAID, FAAIP, Dipl. ABOI/ID

]]> Comment on Ridge Augmentation by R. Hughes http://www.osseonews.com/ridge-augmentation/#comment-45933 Fri, 04 Jul 2008 17:53:31 +0000 http://www.osseonews.com/ridge-augmentation/#comment-45933 You may consider a ridge split, graft with Osteogen and plase the implants at the same time. Cover with a collogen membrane, protect the site and call it a day. Doing it this way will make it a 5 wall defect not a 4 wall defect treatment. You may consider a ridge split, graft with Osteogen and plase the implants at the same time. Cover with a collogen membrane, protect the site and call it a day. Doing it this way will make it a 5 wall defect not a 4 wall defect treatment.

]]> Comment on Ridge Augmentation by Dr. Marius Borcoman http://www.osseonews.com/ridge-augmentation/#comment-45904 Fri, 04 Jul 2008 07:45:46 +0000 http://www.osseonews.com/ridge-augmentation/#comment-45904 I appreciate the post of dr. Bohnnan, I would like to ask about the combination of Bio-oss with Emdogain. Is it worth the mixture? I appreciate the post of dr. Bohnnan, I would like to ask about the combination of Bio-oss with Emdogain.

Is it worth the mixture?

]]> Comment on MELISA Test for Hypersensitivity to Metals: Should This Be Routine Prior to Implant Surgery? by anon http://www.osseonews.com/melisa-test-for-hypersensitivity-to-metals/#comment-45903 Fri, 04 Jul 2008 04:55:50 +0000 http://www.osseonews.com/melisa-test-for-hypersensitivity-to-metals/#comment-45903 I could not find any published studies specifically on implants and a suggested replacement at the above website. Did I overlook this information? I could not find any published studies specifically on implants and a suggested replacement at the above website. Did I overlook this information?

]]> Comment on Bone Morphogenic Protein by Peggy http://www.osseonews.com/bone-morphogenic-protein/#comment-45900 Fri, 04 Jul 2008 03:55:12 +0000 http://www.osseonews.com/bone-morphogenic-protein/#comment-45900 Update - The Infuse rhBMP-2 bone graft was not a complete success BUT there is enough bone at either end of the missing maxilla to have two implant posts placed that will be sufficient to secure a fixed bridge holding the three or four teeth he needs to have replaced. There is some bone in the middle of the length of jaw but it is too thin to allow implant posts. So, while we had hoped for individual implant posts and subsequently individual teeth (crowns) just like a normal mouth, we are not upset that that won't happen. We are all really happy that the graft succeeded sufficiently to allow us to proceed with getting teeth on that side of his upper jaw and restoring function to that half of his mouth. The surgeon does not know why the graft didn't do as well as hoped other than the possibility it was because of the abundant scar tissue from the several prior surgeries. The only other option (besides two implants & the bridge) would be to try another grafting procedure, wait 6 months more and see if it grew thick enough bone, etc..... But my son felt he'd rather move ahead and get the two implants to allow the bridge to be placed any time after 6 months, than wait hoping for another bone graft to succeed or fail. The surgeon really felt this was best too. So my son is scheduled for the implant surgery on July 7th. Update - The Infuse rhBMP-2 bone graft was not a complete success BUT there is enough bone at either end of the missing maxilla to have two implant posts placed that will be sufficient to secure a fixed bridge holding the three or four teeth he needs to have replaced. There is some bone in the middle of the length of jaw but it is too thin to allow implant posts. So, while we had hoped for individual implant posts and subsequently individual teeth (crowns) just like a normal mouth, we are not upset that that won’t happen. We are all really happy that the graft succeeded sufficiently to allow us to proceed with getting teeth on that side of his upper jaw and restoring function to that half of his mouth.

The surgeon does not know why the graft didn’t do as well as hoped other than the possibility it was because of the abundant scar tissue from the several prior surgeries. The only other option (besides two implants & the bridge) would be to try another grafting procedure, wait 6 months more and see if it grew thick enough bone, etc….. But my son felt he’d rather move ahead and get the two implants to allow the bridge to be placed any time after 6 months, than wait hoping for another bone graft to succeed or fail. The surgeon really felt this was best too. So my son is scheduled for the implant surgery on July 7th.

]]> Comment on Suture Lost Exposing the Implant: What to Do? by anon http://www.osseonews.com/suture-lost-exposing-the-implant-what-to-do/#comment-45899 Fri, 04 Jul 2008 03:53:59 +0000 http://www.osseonews.com/suture-lost-exposing-the-implant-what-to-do/#comment-45899 "3 words…STANDARD OF CARE. That is what the savvy lawyers are using in these cases. If a weekend warrior Gen Den is placing implants, they are going to be held to the standard of care for said procedure. Lawyers are getting around the consent issue by showing that the Gen Den did not fully inform the patient of their dental implant training, expertise, and experience. In a court of law, blaming everything on the dental rep does not fly. Ultimately, everything is the responsibility of the provider." I have been told otherwise. Unregulated implies there are no standards. Anyone can teach or provide services. And damages are not awarded to situations that are considered reversible by simply removing the implants. I also applaud mainoralsurgeryman. However, the Doctors asking questions at least have the integrity to confront their situations and are working to find help for their patients. And there are less fortunate patients that are left to find their own solutions. “3 words…STANDARD OF CARE. That is what the savvy lawyers are using in these cases. If a weekend warrior Gen Den is placing implants, they are going to be held to the standard of care for said procedure. Lawyers are getting around the consent issue by showing that the Gen Den did not fully inform the patient of their dental implant training, expertise, and experience. In a court of law, blaming everything on the dental rep does not fly. Ultimately, everything is the responsibility of the provider.”

I have been told otherwise. Unregulated implies there are no standards. Anyone can teach or provide services. And damages are not awarded to situations that are considered reversible by simply removing the implants.

I also applaud mainoralsurgeryman. However, the Doctors asking questions at least have the integrity to confront their situations and are working to find help for their patients. And there are less fortunate patients that are left to find their own solutions.

]]> Comment on Abutment Screw Gets Stuck: How to Prevent This? by Gary D Kitzis, DMD http://www.osseonews.com/abutment-screw-gets-stuck/#comment-45894 Fri, 04 Jul 2008 00:49:51 +0000 http://www.osseonews.com/abutment-screw-gets-stuck/#comment-45894 Note to Bob: I'm with you on the use of separate lab and patient prosthetic screws. Do you have a reference in any industry (or dentistry) stating that a screw should not be brought to its working torque more than twice??? I am interested in a reference with numerical data, not an anecdotal "I think two times is it...." . I specifically mean being brought to working torque, NOT being brought up to working torque, placed into service, then removed, replaced into service .... and so on. Note to Bob:

I’m with you on the use of separate lab and patient prosthetic screws.

Do you have a reference in any industry (or dentistry) stating that a screw should not be brought to its working torque more than twice??? I am interested in a reference with numerical data, not an anecdotal “I think two times is it….” . I specifically mean being brought to working torque, NOT being brought up to working torque, placed into service, then removed, replaced into service …. and so on.

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