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Healing complication
Hello. I placed an implant in site #28 on 25 y/o male. Pt has controlled type 1 diabetes. recent A1C 5.8. Otherwise healthy. Placed with good initial stability and cover screw placed and resorbable sutures. Pt did not return for any follow ups and did not return any check up phone calls. He scheduled 2nd stage prior to surgery and showed up today. (4.5 months after placement) Radiograph looks good (to me at least) but unfortunately the tissue hadnt healed over the healing cap fully. The tissue looked very healthy but You could see a small hole where the driver hole is. Made incision and removed cover screw and placed healing abutment. How concerned should I be? What would you recommend. Implant seemed stable. No movement upon removing and placing cover screw/healing abutment. Thanks in advance!
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3 Replies
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Wouldn’t be concerned if tissue is good but you’ll likely have some crestal bone loss. As long as stable, healthy tissue, and does not develop mucositis address restoration should be fine. Just monitor as usual recall schedule. Radiographs will tell you if anything is an issue at this point.
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Okay good to hear. Thank you for the response!
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I agree – sometimes you get that “dimple” from the cover screw and tissue not fully healing, but it doesn’t compromise the final goal of getting an implant crown. If anything, it makes it nice and easy to find at uncovery! (Mostly if you’re doing overdenture uncovery).
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