College & Education: RE: [ACEsthetics] Implants in smokers

I started fifteen years ago. I’m not humble. We’ve got people on here that put that many in yearly and even more. My first one was an Interpore or something like that. It had IME’s in it that had to be changed but was supposed to mimic the periodontal ligament. We did a ton of those and quit right before they changed the plastic IME to the metal one. It was a crap system. Since then we had been all Nobel.

Again, on that case Wednesday with all the implants, I try to put a lab analogue on each implant just to place the closed analogue in the impression…not for Ultimate Styles to use. I noticed three or four blue ones that my partner used from implant direct. I tried one on Nobel. They simply don’t mesh like Nobel to Nobel. That bothers me some. We keep all the implant analogues and reuse them until I don’t like them any more…and all the healing screws. We seldom have to buy an analogue now but mixing in these Implant Direct parts bothers me. I told my implant assistant to get a new container and separate mine.

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

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From: Patrick Carroll [mailto:drpmc1@gmail.com]
Sent: Saturday, August 31, 2013 9:15 AM
To: Guy Moorman
Cc: Ray Voller; johnhighsmith@mac.com; John Stivers; ACEsthetics@googlegroups.com
Subject: Re: [ACEsthetics] Implants in smokers

Not sure what you would consider a big implant guy but 625 sounds like a crapload to me. Cut the humility.. Guy, just admit

you are a dental stud. :-) I also read one of your other recent posts and I promise I will answer your dental questions, even though

you know a shit ton more about dentistry than I do. Want to keep this forum relavent as it is about the only one I monitor these days.

Pat C

On Sat, Aug 31, 2013 at 6:06 AM, Guy Moorman <gmoor@windstream.net> wrote:

I’m not a big implant guy like you folks. My surgeon said we had done 625 as of last week and wanted to take me out to lunch. We’ve had two failures. One was in what turned out to be a type one diabetic who did not know this and the other had multiple health issues that we were not aware of when we started. We never could get him to a decent physician so we do not know exactly what it was but it was some sort of blood disorder that required a transfusion a week. We lost three…one on the diabetic and two on him. We finally refused to do any more implants until he got a work up and a consultation with the physician. He left in a huff.

Guy W. Moorman, Jr., D.D.S.

The Swamp

Douglas, GA 31533

912-384-7400

From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ray Voller
Sent: Friday, August 30, 2013 10:57 AM
To: johnhighsmith@mac.com
Cc: jstivers@bellsouth.net; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Implants in smokers

I disagree. I've had almost zero failures with implants in non-smokers & more in smokers. Not ALOT more but more.

It's their responsibility ( smokers) if they fail . My periodontist who places them will redo a failed implant in non-smokers, but will not in smokers.

Ray

Sent from my iPhone

On Aug 30, 2013, at 9:10 AM, John Highsmith <johnhighsmith@mac.com> wrote:

Placing implants in smokers is not that big a deal. A 3 pack a day smoker, yes it's a problem. 2 packs, getting dicey. One pack, not a huge risk. Assuming you have good bone volume.
Bone grafting in smokers is a different story. Suture lines tend to open up, which makes your graft run down the hall. Not good.

Consider that implants are widely done in Europe, where smoking is a lot more prevalent than here. Tells you something.

John Highsmith DDS
Clyde, NC
AACD Accredited Dentist
LVI Clinical Instructor
Diplomate, ICOI
Fellow, Misch Implant Institute
DrHighsmith.com

On Aug 30, 2013, at 9:06 AM, John Stivers <jstivers@bellsouth.net> wrote:

Kathy,

I have an OMFS I have referred to who refuses to place implants on smokers. I have 2 periodontist I refer to who will place them. One periodontist, who is probably the most well-read dentist I know, says the literature doesn't support not doing them.

I have had 6 implants placed in a heavy smoker (worked for -Brown & Williamson--they put the patent for their super-addictive tobacco in his name) over the past 10 years or so and no problems whatsoever.

John

8/29/2013 9:42 PM, Kathy Frazar wrote:
What does everyone think about implant placement in smokers. How many cigarettes a day if any.

What is the prognosis?

Kathy Frazar DDS
www.TheHoustonDentists.com

Sent from my iPad

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RE: [ACEsthetics] Implants in smokers

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