I am posting my first case, and I would appreciate your comments.Â This is a 71 year old lady who came in years ago, but accepted only crowns on the anterior incisors. Some weeks ago she returned and the canine had deep decay.
I offered her implants and did a 3-D scan.Â The surgery and installation went well for the implant in the second premolar site. The canine was a disaster.Â
The buccal cortical plate was very thin, so I placed the implant more palatally, and filled the socket with autogenous bone. I decided to place a healing cap and to wait. I then placed an implant in the lateral incisor site intending to place a provisional restoration.Â I had minimal space, but I was able to insert a 3.8mm implant and achieved primary stability of 40Ncm.Â But because of the thin bucco-lingual corticalÂ plates I had to place it around 3mm deeper then planned, rather than than chipping off the overhanging thin corticals.Â I placed a 3mm healing cap because I did not have a longer one.Â It tilted towards the approximal bone of the central incisor.Â I then decided to close everything for 3 months.Â
In your opinion, where did I go wrong? Would you use some provisional solutions in your practice?
Any advice about when to load those fixtures?