Page 56 - CEREC Q4 | 2014

54 | CERECDOCTORS.COM | QUARTER 4 | 2014
in this recurring section of cerecdoctors.commagazine, we share a sample of conversations
occurring online:
Implants are a hot topic on the cerecdoctors.com discussion boards. This particular thread examines
a treatment modality that has been gaining more interest with our members.
Immediate Molar Implants
Exploring a Treatment Option That Has Become More Accessible
D I S C U S S I O N F O R U M | | |
Compiled from www.cerecdoctors.com/discussion-boards/view/id/29160
Baron Grutter | Gladstone, Mo.
I feel like imme-
diate molars are
a hot topic as of late. With
so many companies offering
wide-body implants, it’s
becoming a more and
more attractive treatment
approach.
So, I thoughtwhynot start
a thread dedicated to the
topic, sort of like the ones
discussing before/after?
Perhaps we can all share
some tips and tricks along
the way. Personally, I’ve
done just three (one today),
and have a fourth coming
up on Thursday. So, maybe
we can all learn together
from this growing aspect of
implant placement.
Here’s mine from today:
Freehand - 7.0 x 11.5 mm
BIO|Molar fromBSB. Placed
approximately 2 mm below
the b/l bony crests; torqued
to A LOT of Ncm. After
the X-ray, I placed a 3 mm
healing collar, grafted and
sutured a collaplug over top
with vicryl sutures and will
see him back in three weeks.
Chris Haag | Lincoln, Neb.
Baron — Did you put any grafting material
in the root areas? Any prep to the bone in the
socket areas? I think this has to be better than letting the
bone collapse and dealing with it later. Great thread!
Baron Grutter
I did not graft the actual root sockets, per say. I
just grafted the coronal area to keep tissue from
collapsing downward. No real prep other than to deflect
my first fewdrills to cut down themesial of the furcal bone,
as it was slightly pushing my drills to the distal. Honestly,
other than getting up to check on other patients and
hygiene, this was an extremely straightforward surgery.
The pre-op CT shows TONS of bone, as most molars have.
I possibly could have placed an 8- or 9-mm Trimax, as TK
is so fond. But, I think 7 mm should work great, and it was
PLENTY stable. Besides, the connection is a 4.5 internal
hex. So, any more width of the implant really only helps
with stability.
Trent Redfearn | Highlands Ranch, Colo.
When placing these (because I am definitely
interested) are you guys getting the most
stability from engaging the intercrestal bone and below
the apices of the roots or more from the remaining walls
(B/L/M/D)? If from below the tooth, what if you are close
to the I/A nerve canal?
Baron Grutter
Similar to single-root immediates, the stability
comes from the apex. Honestly, this implant
wasn’t even touching the Buccal and Lingual plates. To be