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ANDREW posted an update
10 months ago (edited)
Case I got yesterday. Patient really wants an implant at #18 site. Fun case! ~60yo female, non-smoker, no DM, no osteoporosis or any other bone-related diseases.
Ivan, Erick and Jedediah-
How does one clean that PARL adequately, avoid disturbing the IA, and graft reliably. That is a fun case!
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Should be relatively straightforward as long as that infection is thoroughly cleaned out. you wanna make sure that you go in there with the Curette and clean all of those walls around that radiolucency. Often times irrigating those areas with peridex can help break up some of that infected granulation tissue. Once all the walls are cleaned you can place the bone graft material and membrane. Infection is close to the nerve, but it looks like there’s adequate healthy bone between the nerve and the infection where there should be no involvement. But you always want to let the patient know of the possible risk and potential paresthesia, but unlikely in this case.
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Looks like fun. Once that site is cleaned out thoroughly It should heal fairly predictively. Keep us updated.😊👍
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how did it go? @whodatdds
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