Bone Loss Around Implants: Recommended Treatment Plan?


Dr. H asks:

A new patient presented with implants in #7 and 10 sites [maxillary right lateral incisor and maxillary left lateral incisor; 12, 22] supporting a 4-unit fixed partial denture replacing teeth #7-10. The implants in both sites appears to be failing. They have purulent drainage and there is obvious bone loss on the radiographs.

My treatment plan is to remove the prothesis, use my co2 laser around the implants, make a temp prosthesis and reevaluate. Any other ideas or recommendations for how I could manage this case?

Failing Implant on #7

Pano of a Failing Implant