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Implant #8 complication
Guide failed, freehand placement immediate #8. First 2 sizes I wanted were sinkers. Finally got a larger one super deep as a spinner so grafted and left it. How can I salvage this when it comes time uncover/restore or am I gonna have to take it out? buccal lingual position is in screw retained position. Thank you
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2 Replies
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If there is enough bone and biology around it and the body heals well should be straightforward. You’ll just have to remove bone that heals over the top which is a good problem to have and it’s pretty straightforward.
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Hey man, thanks for sharing here! First off, no I don’t think you’re going to have to take this implant out. I think it’s gonna turn out just fine.
Secondly, you might not have as much bone as you think covering the implant. If that’s graft on top of the screw, it might resorb a few mm.
Be prepared to remove and shape bone a little bit for the surgery. I would recommend the round-gold diamond drill from implant club. You might end up spending a good 20 min just shaping that bone so that you can securely and passively get a scan body/impression coping on.
The worst case scenario in this case might be that the platform is a bit apical and the gum recedes a little.
I like to over-educate the patients about gum recession during esthetic cases. It’s important they know this is a possibility from the beginning so they are not upset in the end. I tell them that they might have some gum recession and that there is the option of gum grafting. And I go into that pretty thoroughly. It’s good to cover your butt with esthetic cases 🙂
Don’t worry man, it will turn out fine!
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