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Sanjay posted an update
Hey everyone,
Did one immediate in November and want to understand its prognosis.
Leave it for some more time or take it out.
Kindly suggest.
Jedediah and Ivan-
Thanks for the question 🙂 What are your concerns about it? Also, does the patient have any risk factors as far as implants are concerned?
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Well no risk factors, but I see some gap mesial to the implant.
So that’s the concern.
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What should be the ideal time to load such immediate implants?
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Would love to hear the opinions of others on this. Is anyone else doing immediates? I’ll give other people a chance to chime in before I give my opinion ❤️
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Hey @implantorder , it sounds like you’re concerned about this area right here indicated by the yellow arrows. I personally am not convinced 100% that this necessarily is a sign of pathology. Especially since the x ray was rather dark overall.
Can you provide new x rays or x rays from multiple angles?
What is the clinical presentation like? Is there bleeding or supporation?
Does the tissue look healthy?
I think we need to see the whole picture here.
I’d love to hear your thoughts on this @restoredsmiles
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Thanks for the question Sanjay. It’s hard to give a clear answer with limited information. However, some of the questions that I’ve even talked about we definitely would love to know such as health of the tissue in the area making sure that there’s no fluid discharge. Many times with such a dense metal object, such as an implant, you can have areas like that Just as an artifact. Because x-rays can show things a different angles I always like to get a bitewing, PA and a 2-D pano at the restorative date. Each x-ray can tell me something different. Also look at the existing x-ray that had the tooth prior to extraction if there’s a hard cortical lining around that tooth and the implant is around the same size that sometimes can take some time to resorb to integrate more around the implant so it might look like a gap or failing, but it’s just continuing to heal. Typically if I have a healthy patient, I wait about four months after I place the immediate implant, which is more than enough time for proper healing, and Osteo integration to occur
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From that single x-ray I don’t see anything that is necessarily wrong or bad about that implant if that’s the only Data point I have
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