Study Club Member Paul
Study Club Member
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An update 4 weeks post op:
The PA looks a lot better and clinically the implant seems to be taking. The pt is continuing with CHX rinses. Unfortunately primary/secondary closure did not seem to happen. I am wondering on how to continue with this case. What should I do with that excess buccal tissue? I was thinking of just removing the healing abutment, placing a cover screw and just suturing that excess tissue to the lingual and hoping for closure?
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Also, any advice on how to remove the implant?
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True about silk sutures, I will have the office purchase some monofilament sutures for next time. Thank you for the reassurance, I was ready to throw in the towel and give up on it especially seeing these results 2 weeks post op. In terms of medical history, pt had a history of taking blood thinners in the past and has not within the last 2 years and there were no instructions from cardiologists to change medications.
Previously this was a grafted since in the past (2020 I believe), if the area is grafted again, does it decrease the prognosis of placement? Thank you for your input!
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Not sure if I overheated the bone to be honest, constant irrigation was used during the osteotomy. I did put the pt on CHX, will see them back in about a week to reevaluate. Thank you for your help!
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Thank you for the recommendation! Good to know that an immediate is an option in this case.
