Are these dental implants salvageable?
Last Updated: Apr 06, 2012
I first saw this patient 1-year prior. Â He presented with implants in #8, 9 sites [maxillary right and left central incisors; Â 11, 12] which had 4-5mm bone loss but were well integrated and had no mobility and were asymptomatic. Â Implants were installed 3-years ago. Â #7,10 [maxillary right lateral incisor, maxillary left lateral incisor; 12, 22] had Class 2 mobility. Â I think the bone loss was due to occlusal overload.
This year he returned and there was frank purulence from #8 implant pocket.  Patient want the implant #8 saved.  I laid a full thickness flap, removed lots of granulation tissue  and then ground off the exposed threads and polished the implant surface.  I cleaned the implant surface with an ultrasonic scaler and also applied a laser to the area.  I prescribed Augmentin and Chlorhexidine 0.12%.  If this therapy does not work, I am going to recommend extraction pf #7-10 and install new implants in #7 and 10 and do a 4-unit fixed partial denture.  Is there anything else that I can do to maintain the implant in #8 site that I have not already done?
after. oh, I look at xrays dimple down. So thats number 8
15 Comments on Are these dental implants salvageable?
04/09/2012
Dean Tanaka
04/09/2012
Carlos Boudet, DDS
04/09/2012
John Kong, DDS
04/10/2012
salimhazim
04/30/2012
peter fairbairn
04/10/2012
Dean Tanaka
04/10/2012
dr. dan
04/10/2012
Alejandro Berg
04/10/2012
Dr Fue
04/10/2012
David Levitt
04/11/2012
Baker vinci
04/15/2012
Baker vinci
04/17/2012
04/22/2012
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