Early peri-implant bone loss: normal response?

Last Updated April 09, 2014
Reviewed By:  OsseoNews Team

I have a 67 year old female patient who smokes 10-15 cigarettes a day. She has excellent periodontal health. I installed implants in an edentulous area in #19, 18 areas [mandibular left first and second molars; 36, 37]. On the 1 month recall the healing abutments were exposed. I changed the healing abutments. The radiograph showed rapid bone loss around #18. Is this a normal response of the bone? Could this bone loss be due to cigarette smoking or overheating the bone when I drilled the osteotomy site?


![null][peri](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/peri-300x197.jpg)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/peri-e1397071061154.jpg)


![null][pano](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/pano-300x147.jpg)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2014/04/pano-e1397071083729.jpg)


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