Crestal bone loss after 2 months: recommendations?

This patient presented with a narrow ridge where implants had been placed, with guided bone regeneration done on the buccal side.   But 2 months later the radiograph showed crestal bone loss.  Should I load the implant after 2 months or do any grafting procedure?  What do you recommend?



3 thoughts on “Crestal bone loss after 2 months: recommendations?

  1. Dr. L says:

    The posterior implant looks like It has retrograde peri-implantitis in addition to slight crestal bone loss. The crestal bone loss doesn’t look too bad but the PARL around the posterior implant is worrisome. Was this implanted in a site that had failed endo?

  2. Adil albaghdadi says:

    Possible Causes are Thickness of buccolingal bone is less than 1 -2 mm with pressure on the Crystal bone (excessive torque) , thin bio type of the covering mucos can be traumatized by chewing on that side when covering screw is exposed, grafted bone that is resobed overtime , vertical angulation of radiograph can show the platform is higher. If the covering mucosa is more 2 mm thick you should be fine.. use zirconia abutment . I would not graft again .

  3. Sam latif says:

    Often timed these implant will fail, after loading them , the patient will come back saying my crown is loose , when in fact the implant is loose, your only hope is Waite and see , and don’t restore it before your check the stability of the implant.

Comments are closed.

Posted in Clinical Cases, Surgical.
Bookmark Crestal bone loss after 2 months: recommendations?

Videos to Watch:

Immediate Implant after Extraction

This video provides some excellent drilling tips, in cases where a decision has been made[...]

Watch Now!
Flapless Surgery and Immediate Loading

This video shows flapless immediate implant placement on a mandibular molar, and issues when considering[...]

Watch Now!
Sinus Lateral Approach followed by Immediate Placement

Immediate loading of implants, is generally considered quite difficult following sinus lift surgery. This video[...]

Watch Now!
Flapless 3-D Computer Guided Implant Surgery

This video shows flapless implant surgery assisted by implant planning software which allows 3D printing[...]

Watch Now!
Sinus Lift Crestal Approach using Hydraulic Pressure

This video demonstrates the crestal approach for sinus lift, following extensive maxillary sinus pneumatization after[...]

1 Comment

Watch Now!
GBR in Labial Plate Bone Fracture

This video case shows guided bone regeneration in a patient who presented with root and[...]

1 Comment

Watch Now!
Ridge Split Technique using Vestibular Incision Approach

The alveolar ridge split technique is a predictable and reliable procedure, though case selection is[...]

3 Comments

Watch Now!
Lateral Sinus Lift: Perforation, Repair, and Implants

These two videos demonstrate the lateral window sinus technique, and implant placement following the repair[...]

Watch Now!
Single Tooth Replacement with Implants in the Esthetic Zone

Dr. Jack Hahn provides tips and reviews cases for implant placement in the esthetic zone.[...]

Watch Now!
Surgical Consideration for the Flapless Approach

In this video, Dr. Jack Hahn discusses and presents cases to review the surgical considerations[...]

Watch Now!
Bond Apatite: Socket Preservation Cases

These 2 videos show the use of Bond Apatite in socket preservation cases, one with[...]

Watch Now!
3D Guided Implant Placement

The placement of multiple implants in this case was helped thru the use of 3d[...]

Watch Now!