• Implant Tx Planning

  #20 ext/graft

  Posted by Dr. on April 14, 2024 at 7:00 pm

  Hi,

  #20 is planned for an extraction and socket grafting. I planned for an implant 4.0x7mm (which I’m thinking is a bit short – would have liked at least 8.5mm) but is limited in length due to the lingual concavity.

  The implant fits into this pre-extraction dimensions; however, I’m anticipating some bone loss even after socket grafting and am concerned that there will be inadequate bone for my 4x7mm implant.

  In this situation, would anyone try to do a simultaneous GBR in addition to the socket grafting or perhaps do the GBR afterwards? In your experience/hands, which one is more predictable to do than the other?

  Thanks!

  

  

  • This discussion was modified 8 months ago by  Dr..

  Jedediah replied 8 months ago 2 Members · 1 Reply
• 1 Reply

• 

  Jedediah

  Administrator

  April 15, 2024 at 12:20 pm

  It looks like there’s great interproximal Bone so that’s what you should lean into on a case like this. You may have to go slightly wider to get really good engagement on the mesial and distal walls and remove some of the lingual portion of the bone socket just slightly so that you can maintain a good 2 mm buccal gap so you have sufficient bone around the implant and you’ll not have to worry about a ridge augmentation.

  • This reply was modified 8 months ago by  Jedediah.

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