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#20 implant
Hi, this implant was placed in June 2024. I have 3PAs (one from day of placement, one month later, and 9 month later). The intraoral picture of the soft tissue is from yesterday and tissue looks great… patient has no discomfort/pain either. She did have some discomfort between 2-3rd week after placement but subsided after taking antibiotics. On the one month xray, I may have missed the radioluency starting in apical 1/3.
Yesterday, I tapped the HA with the end of my mirror and wiggled the implant with no pain nor any perceptible movement. I am very suspicious, of course, about the radiolucency surrounding the apical 1/2 of the implant and am almost certain that the implant has failed (right?). I have removed failed implants at about 4 weeks (came out easily since still has not osseointegrated) but not at 9 months out…
Do you foresee this one coming out easily with reverse torquing? Also why does she not have any pain? What is the indication(s) for grafting a failed implant site… I’ve spoken to some who graft and others who don’t.
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This discussion was modified 4 days, 4 hours ago by
Dr..
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This discussion was modified 4 days, 4 hours ago by
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1 Reply
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Hello hope all is well !
I don’t have much experience in implants but why you don’t take a cbct first ? To see exactly what is happening? Is only the HA loose? I am sure you will know the difference but just a thought!
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