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Alan posted an update
This is a recent case that is failing and had adequate bone. I’ve attached a radiograph taken at placement, and another one taken a month after. The cover screw is not exposed, patient is not in pain but there is some purulence on palpation and crestal bone loss. Insertion torque was 35ncm. I had to use external irrigation for this case (which I rarely do). Also, no pre-op antibiotic. However, I placed a second implant at # 29 on the same patient that is healing uneventfully with no bone loss. Patient is coming in next tuesday. I plan on explanting and grafting, or immediately replacing with a larger diameter implant. Do you think this can be salvaged? What do you think caused the bone loss?
Erick5 Comments-
I think it wasn’t deep enough. ZBLC says we need 4mm from tissue to collar to prevent this bone loss. I would go back use the same site and if possible put in a 4.3 x8 . It looks like this implant was a 3.5 x 10. I bet if you hug the lingual you can put in a new 3.5 x 10 and countersink it.
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I think you’re probably right
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Yes I’ll send the CBCT through wetransfer. What’s your email?
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I took it out, cleaned the sige and replaced it. We shall see what happens
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Following this! Looking forward to hear how this goes!
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