Draining sinus 2 weeks after implant: suggestions?

Last Updated May 25, 2018

I inherited a case of 2 fractured and non-restorable teeth – upper central and lateral incisors – with long-standing chronic periapical infection-periapical granuloma. I extracted both teeth, did thorough debridement of the granuloma,and used clindamycin and saline wash post excision of the lesion. I then placed the 2 implants. After 2 weeks the patient returned with a draining purulent sinus associated with one implant – the lateral incisor. Should I raise a flap and do further debridement of the infected area or should I explant and debride and re-enter with an implant at a later date? Requesting your suggestions. Thanks

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