Bone Loss of About 4mm Six Months After Implant Placement: Suggestions?
Last Updated: Mar 01, 2010
Dr. JC, an oral surgeon, asks:
I recently performed extraction and immediate implant placement in the #11 [maxillary left canine] socket with a Nobel Biocare Replace Select implant, 4.3×16 mm. I placed Puros bone graft material [Zimmer] in the space between the socket walls and the implant, advanced a flap for primary closure, and let it heal for 6 months. At Stage II uncovering today, circumferential bone loss of about 4 mm extended from the crest. No soft tissue inflammation was noted. The implant, however, tested solid with a reverse torque test at 40Ncm. I elected to debride the soft tissue around the exposed threads, packed Bio-Oss [Osteohealth], and will re-evaluate in a few weeks. I am thinking of letting the restorative dentist place a temporary crown and just monitor the bone levels for 6 months to 1 year, before finishing the case. Anyone have any thoughts on this case? Other suggestions?
13 Comments on Bone Loss of About 4mm Six Months After Implant Placement: Suggestions?
Greg Steiner
03/01/2010
Richard Rodriguez
03/01/2010
David Nelson DDS
03/02/2010
bahram
03/02/2010
Dr Ampalos
03/02/2010
jerry
03/02/2010
Don Callan
03/03/2010
Andrey Yegorovykh
03/03/2010
Jeevan Aiyappa
03/06/2010
Richard Hughes, DDS, FAAI
03/07/2010
Colin Angelo
03/07/2010
Paul
03/07/2010
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03/01/2010