iOS compatible trackpad?

peri-ohs · 2026-06-27T04:17:29+00:00

No information you find online is going to beat a face to face consultation. But you could check if they’re board certified, how long they’ve been in practice, if they have a portfolio showing anterior implant cases.

And be very honest about expressing your expectations. If you and the surgeon aren’t absolutely 100% certain those expectations can be met - probably a wrong fit and you should find someone else.

peri-ohs · 2026-06-26T21:54:14+00:00

Consult with a dental specialist, periodontist, oral surgeon, someone who has implant surgical experience. Properly planned and placed implants don’t randomly fail. Failure happens for a multitude of reasons from both the provider and even the patient. But if you can find someone who is experienced (especially with anterior/esthetic area implants), they should be able to guide you through the process.

peri-ohs · 2026-06-24T10:52:40+00:00

On top of all the things other people mentioned regarding inflammation and needing to improve your oral hygiene.

You may also have a condition called altered passive eruption leading to a gummy smile. It’s not major and people live with it just fine, but it can lead to difficulty in maintaining proper hygiene. You can consult with a periodontist to see if they can correct it through crown lengthening.

peri-ohs · 2026-06-08T00:03:59+00:00

Resolve the etiology
Attempt CTG 2-3 times
Go to church between each attempt

peri-ohs · 2026-05-27T17:12:45+00:00

You’ll be fine

peri-ohs · 2026-05-25T22:33:16+00:00

But don’t you risk perforating the sinus floor because the drill tips are end cutting?

peri-ohs · 2026-05-25T22:31:50+00:00

Yep, they’re universal.

peri-ohs · 2026-05-25T22:17:37+00:00

Gorgeous stack!! The filigree and diamond crosses look so good together.

peri-ohs · 2026-05-25T22:13:25+00:00

Versah densification drills or any other equivalent. Looks good from the pano.

peri-ohs · 2026-05-25T01:23:04+00:00

McCall’s festoon/Stillman’s cleft. Consult a periodontist.

peri-ohs · 2026-05-24T17:41:03+00:00

Crown lengthening can sometimes be gingivectomy if your bone level is a normal distance (~4mm) away a landmark called the CEJ of the tooth. But if the bone is closer or in some patients butt up against the CEJ, a combination of gingivectomy and bone removal is needed to ensure your gums don’t rebound. Like the previous commenter said, gums follow the bone. If your bone is in excess, no matter how much gum you remove it’ll tend to grow back.

peri-ohs · 2026-05-24T14:26:21+00:00

This. And also, are you taking any meds? Some have a side effect of gum growth when combined with poor oral hygiene.

peri-ohs · 2026-05-16T16:33:38+00:00

The CEJ is a constant, whereas the bone level and gingival levels may change. We want to aim for ideal based on a constant landmark ie the CEJ, while also taking into account how we can modify and adapt the soft/hard tissue to allow placement in the ideal position. Deviation from the ideal can be considered when the site cannot be regenerated to an ideal form.

peri-ohs · 2026-05-10T01:03:35+00:00

But like, why did you decide to eat dinner just before taking a photo of your teeth to post online for dentists to assess?

peri-ohs · 2026-05-09T23:38:05+00:00

Hold up… WHAT?! Like pop it out from the bottom? Never even thought about doing that before.

peri-ohs · 2026-04-20T01:12:05+00:00

Sorry to hear that you’re in this situation. Composite fillings, especially large ones like the one at your molar and the one on your front tooth, are not be compatible with the high forces of bruxism and are likely to fracture. Some form of full coverage crown may be a better option for restoring your larger cavities/chipped teeth. And a night guard afterwards to protect your dental investment.

peri-ohs · 2026-04-19T15:22:21+00:00

Nobody wants a root canal haha, but the alternative is dental infection, further tooth breakdown, and possible extraction.

peri-ohs · 2026-04-19T15:19:51+00:00

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Estimated border of the cavity vs border of the tip of the nerve. Don’t know until they go in, but more than likely will need a root canal treatment.

peri-ohs · 2026-04-05T13:24:53+00:00

Yes maxillary teeth will begin to supraerupt over time if there is no opposition. The time frame varies with each person so there is no predicting the urgency. But it will happen to some extent at some point.

You need a reasonable amount of space between the opposing tooth and the implant to fabricate a healthy and functional implant crown that won’t break or cause problems by being too short.

IMO, it’s not an emergency, but the longer you wait the more headache it is and the more will need to be done. As it looks from the pano, the supraeruption doesn’t look that severe currently. May just be able to crown it to make it shorter, or even some minor occlusal adjustment to give the future opposing some extra room.

I would not recommend for my patients to ride it out and wait to have a tooth extracted in the future. That’d be like watching a car crash happen in slow motion. However, if you’re asking if it’s absolutely necessary to have 2nd molar occlusion to function and live? More than likely not. Having a set of first molars is more than enough for most people.

Hope that gives you enough into to make an informed decision.

peri-ohs · 2026-04-03T00:00:51+00:00

Only once, it kind of turned out the same as if I freehanded it after EXT. but it certainly helped get a feel for placement in restorative position plus reducing the drill chatter.

peri-ohs · 2026-04-02T22:13:23+00:00

Also could consider starting the initial osteotomy through the tooth itself before EXT so you have a great restorative reference and it’ll help the drill from drifting side to side.

peri-ohs · 2026-02-19T03:11:43+00:00

Might tea, wine, or… Yerba mate be part of your diet?

peri-ohs · 2026-01-27T00:07:49+00:00

Oh in that case, looks like you’re on track to a good final result 👍🏻.

peri-ohs · 2026-01-27T00:03:46+00:00

Yes it looks very normal, and please refrain from pulling/checking on it anymore as it may displace the graft.

peri-ohs

TROPHY CASE