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Adis posted an update
I extracted #5 on this 30yo almost 5 years ago. I remember the tooth was bombed out and so was the buccal plate with soft tissue ingrown all the way to the palatal bone. I did the best I could to clean the socket and graft at the time but I don’t think I got much to stick. The 5 years since also didn’t help the matter.
How do you guys approach a site like this? He and I both are hoping to avoid a bridge, and a sinus lift!
Ivan, Dao and 2 others3 Comments-
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Place your implant slightly palatally and guided with a 4.0 x10 and engage the sinus floor for added stability of cortical bone. If you go in there and it’s all mush, may not be a bad idea to consider a GBR.
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You will definitely want to go in there and clean that site and perform a ridge augmentation prior to implant placement. If patient heals and responds well you can should be able to place a short implnat to avoid a sinus lift.
From what I can see I wouldn’t place an implnat and perform a simultaneous ridge augmentation as it won’t be as predictable in this case.
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