58
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CERECDOCTORS.COM
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QUARTER 2
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2016
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D I S C U S S I O N F O R U M
FARHAD BOLTCHI (FACULTY)
Chuck, the Densah burs will indeed expand the
ridge. However, the problem is that the expansion
will occur according to the trajectory of the current ridge, i.e.,
completely lingual towhere your restoration should be. Another
problem is that the bone surrounding the implant should be at
least 1 mm and ideally 1.5 mm-2 mm after the expansion, other-
wise youwill have to graft anyway—or say sayonara to the bone.
I am not a Bicon user as you know, but Karl’s Bicon idea
might work.
EMIL VERBAN
Why not split the ridge — use Densah burs as well as
graft at time of placement. Thiswill allow the correct
trajectory. I knowyouarenot a fanof ridge split, but have youever
used theDensah burswith a split? Try it, youwill like it.
THOMAS KAUFFMAN
Whyarewewastingour time talkingabout implants
and bone? IMO it has no place on this website. Are
you kidding me? I ammuch more interested in really practical
dialogues like “cord placement” and impressionless dentistry.
Bonding agents. This thread is a waste of time!
JOS DIJKSTRA
Thomas, thedigital placement of implants is a feature
of the CEREC software, integrated with Sirona’s
GALILEOS software. This is why it’s relevant to thewebsite.
JEREMY BEWLEY
TK is treating you to his well-developed sense of
humor, Jos.
CHARLES LOGIUDICE
Jos, I second what Jeremy has posted. I wouldn’t
go so far as to say, “to knowhim is to love him,” but
his sense of humor takes some getting used to.
JOHN PASICZNYK
Applause.
GENE MESSENGER
Two words: bone donut.
JOHN PASICZNYK
Mmmmm dooooooooonuts.
CHAD JOHNSON
Chuck, good question. Nice, thoughtful responses,
everyone.
Jos, I sure hope he was saying that in jest. We’d hate to have
a dialogue (sarcasm button) among colleagues about anatomy
and physiology of bone, and how to preserve a patient’s bone
and chewing function, and how to make ourselves better
clinicians with the most current technology and cutting-edge
treatment philosophy, particularly when we have a CBCT
also involved. You’d think that’d pique some of our interest,
for sure.
Thomas, if you find a discussion topic boring, by all means,
move on — but it was sincerely interesting enough that a few
clinicians have already commented. But again, hopefully I’m
missing your tone, so we’ll be assume the best from you.
If you want a more relevant topic, check out my Isodry
discussion, it’s a hoot:
/
discussion-boards/view/id/45524
MARC THOMAS
As Chuck said, to know TK is to ... know TK. Love
you brother.
Chuck, your question makes me think of my first round
of doing implants. I quickly realized that while there are a
lot of — I will use Garg’s classification here — green light
cases, there are many more cases which would be
considered yellow or red simply because of the need for
varying amounts of grafting in order to achieve a good final
position.
Placing a simultaneous graft to augment the ridge and
cover a few threads should be a straight forward, everyday
technique. Mastering this will vastly expand the number of
cases you will be able to keep in house.
If you want to refer this one, send it to someone who is OK
with you doing implants, and then go in and observe their
simultaneous implant placement and graft technique.
