Colleagues in conversation
Cases and questions with contributions from colleagues, starting with the latest discussion.
85 discussions
Luca Boschini describes a post-extraction implant stabilized at the base of the interradicular septum. In his replies, he specifies a Neodent GM diam…
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Fabio Caliendo describes a crestal sinus lift with a 2 mm drill, Elevate tips with stops at 6 mm anteriorly and 3 mm posteriorly, collagen sponge and…
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Giacomo Guidi asks for advice on a bioceramic cement, reporting his experience with neosealer putty. Colleagues share the names Cera Seal, Well Root…
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Gianmario Scalvi presents a case with an Ornaghi 5x5 implant. In his replies, he describes using the 300 insert, bone harvested from other implant…
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Michele Melillo presents a case performed entirely graftless with Elevate during a masterclass in Manfredonia, with an implant 5.5 h8.6 core 4.0…
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Marco Esposito asks for identification of the implants in two images. Luca Boschini suggests possibilities for the second ones, without a definitive…
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Carlo Marcato describes his first case with Osseotouch: extraction of 24 with Blexo and site preparation with Black Ruby.
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Francesco Benvenuto shares a small distal displacement of the sinus wall with BR. A discussion with Luca Boschini follows about whether the manoeuvre…
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Carlo Marcato describes difficulties extracting a 36 and switching from Blexo instruments to drills. Colleagues share experiences and comments…
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Carlo Marcato asks whether using Blexo instruments at power one is related to a risk of bone compression and reduced vascularization. Kim Agnello…
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Un simpatico caso eseguito solo con Mallet 8 anni fa
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Boschini explains why a severely decayed root that has already had root canal treatment can be difficult to extract, proposes applying force more…
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Marcato suspects piezo-tip overheating after implant loss. A. R. responds with practical advice and personal experience; the discussion also covers…
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Carlo Marcato asks whether Mallet condensation could affect vascularity and favor fibrous integration. The discussion covers bone quality, an animal…
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Asnani removes fractured implants with the Mallet and places four new implants, two in the anterior sites just cleared. Asnani attributes…
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Melillo reports difficulty gaining access with conventional elevators. Melillo then chooses curved Blexo tips with the Mallet and describes an…
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After removing an orthodontic screw, Melillo performs a sinus lift with Elevate on 2 mm of bone and places the implant. Colleagues discuss the risks…
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N. P. describes a sinus lift with Elevate on 2–3 mm of residual bone, combining expansion and elevation. When a colleague asks about the protocol, N…
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Boschini describes approximately 7 mm of sinus elevation using the bone-plug technique, starting with 3 mm of residual bone. Colleagues ask about…
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L. B. describes a crestal sinus lift of approximately 7 mm with approximately 3 mm of residual bone, using a bone core and xenograft mixed with…
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Melillo describes using the LMSF approach to change the osteotomy direction by pushing the sinus wall distally and explains the advantage Melillo…
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C. M. asks how to reconcile the wording about dense bone that C. M. attributes to the OSSEOTOUCH website with a personal understanding of Black Ruby…
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During a one-on-one mentoring session, N. P. uses a hydraulic Gdiff technique at the FIRST upper molar and the Magnetic Mallet at the SECOND upper…
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N. P. combines split crest and indirect sinus elevation, explaining the roles of Genoa, Split, Elevate and Black Ruby. N. S. then shares a separate…
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G. reports chipping tooth 22 during extraction of tooth 48 and attributes the damage to recoil after contact between the Mallet handle and the upper…
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In a full-arch rehabilitation, Melillo describes maneuvers along the sinus walls to obtain remote anchorage and a more distal implant emergence…
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After an implant loses osseointegration, Gigi asks whether the tissue visible on a new CT is regenerated bone, fibrous tissue or thickened mucosa…
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S. R. reports a slight crestal hairline fracture in a case with a 3.75 mm implant in a 3.2 mm ridge and asks whether grafting was necessary. A. H…
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L. explains the reasons for believing that collagen can be avoided in a crestal sinus lift and describes the role L. assigns to the Magnetic Mallet.
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S. R. considers the Mallet crucial to the sinus lift and links displacement of the sinus floor above the implant apex to what S. R. regards as…
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A. T. asks how to approach the case and shares a PDF after a request for the CBCT report. P. W. suggests several implant options, assuming good bone…
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Patel presents an All-on-4 case in very narrow ridges. For the lower arch, Patel reports a full-arch split crest with the Mallet and expanders…
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D. C. and N. P. discuss whether a tilted implant should be called pterygoid, referring to position, anchorage and the limitations of a panoramic…
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Patel distinguishes the presented posterior mandibular D2–D3 case from two other anterior D1 cases. Patel also explains the difference between…
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G. C. asks which Mallet sequence to use for a crestal sinus lift with a 3.75 mm implant. G. C. proposes a sequence of osteotomes with collagen and…
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Patel explains the preparation of the interradicular septum with Elevate, the choice of a 5 × 7 mm implant and the use of synthetic octacalcium…
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L. B. compares the one- and two-year follow-ups and interprets the changes in the sinus floor. In reply to colleagues, L. B. specifies having used…
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Amit Dhawan explains the roles of Cut, the Exp 1–2–3A expanders and Split, and mentions the Genoa series for more advanced splitting.
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P. describes extracting a fractured root with a bone defect, performing GBR and placing an implant at the same time. In the discussion of Mallet use…
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Melillo presents a freehand magnetodynamic full-arch procedure with a microflap, aiming for distal emergence at position 5.
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N. P. describes a posterior mandibular split crest using Magnetic Mallet Split instruments followed by expanders. In reply to M. R., N. P. specifies…
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Gianluca is preparing a first transcrestal mini sinus lift and asks for advice on instruments and materials. Colleagues focus on ridge anatomy and…
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At site 27, with 1.8 mm of residual bone, Melillo describes a crestal sinus lift using gel and Elevate through a small incision. At site 25, Melillo…
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At site 13, with sufficient bone height but a narrow ridge, Tardani uses guided planning to choose the implant position and reports achieving buccal…
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D. A. acknowledges the quality of the surgery but questions whether the plan suited the patient when the whole quadrant is considered. L. B. assesses…
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Boschini explains the choice of a small sinus lift during immediate implant placement, creating a bone dome around the apex, and then adds a second…
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Pietro describes an extraction without a sulcular incision, followed by sinus elevation and immediate implant placement. In reply to T., Pietro…
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For lower third molars, MaciekIP describes creating bone access around the crown and sectioning it before removing the roots with the Mallet…
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With extensive pneumatization between teeth 26 and 27, Melillo chooses a crestal approach and uses Fisiograft paste for the first time. A colleague…
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At three months, Melillo replaces the implant that failed to integrate at site 26 while reporting good healing after sinus augmentation. Melillo…
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Melillo describes replacing the implant at site 26 after three months but considers healing after sinus elevation favorable. The three-year follow-up…
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In one operation, Melillo addresses horizontal atrophy at site 15 and vertical atrophy at site 16. Melillo explains the anatomical assessment and the…
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Lori objects to CBCT scans acquired solely to show cases; V. G. considers the low-dose follow-up scan after flapless implant placement justified…
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DDM and W. C. suggest different explanations for a bone mass in the sinus. They discuss removal, postponing the lift and histological examination…
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M. presents a 4.8 × 10 implant chosen with 15 mm of available bone height and expresses confidence in its strength. The plan also includes…
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Franz presents a case planned and treated by Andrea: Elevate at site 16 with 3 mm of residual bone and bone shaping of the septum at site 17. The…
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According to L. B., initial movement of an ankylosed tooth does not stop resorption: the bony bridge can re-form, and the process can affect the…
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Luca Boschini transplants a canine with a small ankylosed area in a young patient, initially aiming for a temporary solution. Boschini reports better…
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G. asks for a radiologist to provide CT reports when needed. F. C. suggests an online service and recommends contacting it.
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G. has already prescribed a CBCT; M. P. suggests first checking tooth 44’s vitality and assessing mobility and pain. After G.’s replies, M. P…
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Melillo describes repositioning an implant more distally to achieve a more distal prosthetic emergence and reports choosing immediate loading because…
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After L. B.’s videos, Boschini asks whether dedicated pins are needed or whether different models can be used. Boschini recalls that, in past…
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This brief exchange centers on the volumes described by the participants and retains the lighthearted tone of the sharing.
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After an 83-year-old patient loses a bridge’s terminal abutment to caries, Melillo describes placing an implant in the narrow ridge at site 26, with…
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The exchange separates access through very hard bone from replantation: an intact root and preservation of its ligament are not treated as equivalent.
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Following the failure of a 3.70 mm implant in an area of considerable bone loss, T. asks for advice. F. C. proposes a 4 × 8.5 mm implant to seek…
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In the same case, A. D. uses bone shaping on the narrow ridge at the mesial site and an Elevate crestal sinus lift at the distal site.
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For an upper second molar with a lesion described as a cyst in the maxillary sinus, Melillo proposes a two-stage approach. R. N. also asks whether to…
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V. presents a guided sinus lift with Elevate using collagen alone, without a particulate bone graft. P. E. shares a first experience with Elevate.
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At the six-month follow-up, colleagues ask whether the implant has tilted or whether its appearance is due to the radiographic projection. Nicco…
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For a symptomatic molar, M. O. asks whether the distal root has a horizontal fracture. M. O. initially attributed the symptoms to inadequate mesial…
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Filannino explains the sinus lift sequence and the decision to complete the operation despite the sinus width, based on what Filannino judged to be a…
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Franz is planning an implant with limited room for apical anchorage and a wide nasopalatine canal. Franz asks for advice on guided surgery with the…
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With limited apical bone and a 7 mm septum, Melillo chooses to expand the septum for immediate implant placement and also reports a slight sinus…
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With 7–8 mm of available vertical bone, Nicco asks whether to split the ridge or use osteotomes alone. M. F. and Melillo suggest a shorter implant…
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Boschini describes mobilizing the buccal bone segment in a mandibular split-crest procedure and then answers questions about flap release and the…
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Melillo presents the six-month follow-up of a case treated with LMSF and explains why the plan is to use a straight Octa abutment rather than a 30°…
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N. M. describes the online shops used to buy Condress and its price at the time of the conversation. M. O. asks whether an alternative is equivalent…
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This historical exchange moves from colleagues’ reports of availability to a suggested commercial alternative.
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The discussion focuses on implant position, stability in the remaining 3 mm of bone and anatomical case selection. Colleagues also discuss the…
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Scupilliti reports using Mallet tips with the TDC kit’s 5.15 sleeves and acknowledges some play in the pairing. T. suggests the Dynamic Kit with…
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Boschini explains the reasons for choosing a lateral approach for a wide sinus with limited residual bone. A colleague shares another case, and R. C…
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M. O. asks whether to replace a failed fibrously integrated implant at site 24 immediately or wait for healing. G. G. favors waiting and draws…
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Tardani presents the use of Elevate in guided surgery as a technique still being tested, reports a deviation of only a few degrees between the plan…
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After extracting tooth 16, L. B. chooses a sinus lift to allow implant placement and describes the operative sequence and the postoperative…
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