-
Vũ Anh posted an update
It is not easy for a fresh doc (just graduated 6 months ago) to face a case of OCA without any instructor around. I was attempting to screw in the customized abutment, when I use the torque wrench to lock the screw in, the implant rotated :), when I took the implant out, I heard the sound, it kinda like the sound of the train idk…
So after some considerations, I opened the buccal flap, elevated the flap quite high, and suture it to the lingual side, and ask patient to bite on gauze for 30 mins. After 10 mins, I saw that the ‘train sound’ had gone. I am not confident that I can do the lingual connective tissue flap
That was quite of a freaking moment for me. I want to ask that if I leave the implant there longer, let say 3 more months, will I be able to screw the abutment without getting the implant rotated?
Thanks everyone
PS: I posted the pictures of the abutment and the flap design, I took the picture of the abutment when first screwed in by the hand driver and thing seemed normal. I can attach the picture later.
Ivan5 Comments-
Can you explain what OCA is?
1 -
I also don’t know what OCA stands for. The implant has failed it needs removed. There is epithelial encapsulation. One removed it and graft with a cytoplast or dPTFE membrane in the area to re establish the KT band. When the bone matures then I would place a new implant with hopefully a healing abutment that can be used to tent the KT to gain some tissue thickness.
2-
@suredds Hi, thanks for your recommendation. But in this case, the sinus membrane got perforated, is the grafting solution still viable?
-
-
Thanks for the question @nguyenanhduytrung . It sounds like your implant was not stable at the delivery appointment.
I believe I have had an implant or 2 that eventually integrates after initially being unstable. However, MOST implants that show rotational instability after the healing period–end up just needing to be removed, unfortunately.
It happens to all of us!
-
I am so sorry, it’s OAC, oroantral communication
-
