I did not place this implant. The implant is a Dentis 4.1 diameter. Helping another office to fix the issue with minimal problems.
The implant appears osseointegrated, but placed too far distally from #20, and crown loosened up (see last 2 photos -before).
Currently removed crown thinking what to do (see first photo AQ4). I have 8 mm of space b/w 20 and 19, thinking to add another 3.7 implant and splint it to existing #19, make look like 2 premolars and extract #18. I don’t think patient will be happy with option to remove #19, and place another one closer to 20. I am not comfortable with this myself either.
Also considered distal crown lengthening on #20 and making a larger crown to tip distally, but I don’t think it will help much in the mesial cantiliver of #19 and will set up #20 for failure in the short future. Would you recommend anything else? Another solution?
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