Anon asks:I am going to place a dental implant for an upper lateral incisor in a female patient who has just given up smoking. There has been significant ridge resorption since the extraction 6 weeks ago.
There is about 11mm of bone from the alveolar crest to the base of the nose.
Is this enough occlusogingival bone volume for a narrow platform implant? The patient does not want a bone graft. Is a bone graft necessary in a situation like this?
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Sure…unless you don’t have enough. The long answer is it depends on the type of implant you have (tapered v straight, the undercut, any bone loss etc. explore why the patient doesn’t want a graft. Cost? Disease? what are you going to do if you perf? close and forget about it? I always tell my patients that they may get a graft, just so I can ensure the long-term sucess of the implant. You can avoid this as well by doing a screw-retained prosthesis and placing the fixture more palatal. Good Luck
First, if you are having to ask a quesiton such as this, you should not be performing such an operation.
Second, do not let your patient dictate your treatment. If she needs bone, she needs bone.
It takes more than a weekend course to know how to place an implant…
Has anyone seen the “new” implant by Straumann? Does this make sense? What was wrong with their transmucosal implant that they promoted so heavily? Is this their attempt at platform switching?
My guess is that they felt they were missing the boat and that the design that so many clinicians bought into was not as versatile as some people thought. Oh well….another manufacturer changing designs!
There is insufficient information to answer your inquiry.Volume depends on 3 dimensions and you have given only one. Get a CT, provide the labial-palatal and interdental width, and the responses can be accurate, rather than guesses.
I agree we all need more info to accuratly discuss this case but ..let me “put the cat amongst the pigeons !”
You will more likly find you have plenty of bone for and MDI mini Implant
The more I use these guys the more I beleive they are the treatment of choice
They are one piece implants so accurate placement is crucial
USe an MDI MAX
Placement and immidiate load /no flap /no healing..my laterals are now in situ 4 yrs plus
Very narrow platform but you get away with it with laterals
If it fails…so what.. let it heal and go back and do your graft that we were talking about
But if you place well ..it will not fail
best tx: refer this pt to some implantologist practitioner.
and you: do a lot of courses/ fellowship before sticking screws into someone’s nose… with all respect… advice ..