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Andrew posted an update
New grad here….
Have a patient with implants placed at 3 &4 several years ago but didn’t have the funds to restore them until now. Obviously, the anterior one doesn’t look so great radiographically (no bleeding inflammation, etc clinically). Both feel solid and pass the mirror-tapping test.
Would you guys think #3 could still be restored? I don’t think #4 should be restored, but don’t think pt is interested in explant & new implant at that site. My guess is that if we loaded #4 if would progress the bone loss that has already occurred, right?
Erick2 Comments-
intraoral pic
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I would remove them both and start over. The only way I’d restore 3 is if it was aware that it had less than 5 year prognosis. The issue was tissue thickness which was less than 2mm thick in all dimensions. I would just be honest with pt that their bone didn’t heal well and you’re concerned about long term prognosis. If they were hell bent I would put in a CT graft poncho style.
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