Exposed Metal Collar on BioHorizons Implant: Best Treatment?
Last Updated: Sep 19, 2011
Dr. M. asks:
I placed a 12mm long and 5mm diameter Biohorizons dental implant (non-laserlok) in the #30 [mandibular right first molar; 46] with two-stage approach, and covered the implant fixture with a cover screw. Then I closed the implant surgical site with a mucoperiosteal flap and 5 sutures. Everything looked good, but one (1) week later at suture removal, I could see the whole cover screw and the metal collar on the lingual side. Apparently on the lingual side the flap had failed to close completely. The patient had not experienced any pain, swelling, inflammation and there was excellent primary stability without mobility. The patient was instructed to rinse with chlorhexidine. Two months after surgery the condition is still the same. I think the implant may not have been placed deep enough. Does this need any further treatment? What kind of treatment would you recommend? Does the exposed metal collar seriously jeopardize the longevity of the implant? How should the crown margin be adjusted to compensate for this problem or should I just proceed as usual with the fabrication and insertion of the crown?
21 Comments on Exposed Metal Collar on BioHorizons Implant: Best Treatment?
Kevin C. Harrison
09/20/2011
Dr. Omar Olalde
09/20/2011
Bruce GKnecht
09/20/2011
Kevin C. Harrison
09/20/2011
Steven
09/20/2011
Dr. H
09/20/2011
Bob
03/03/2012
John Kong
09/21/2011
Nita
02/17/2021
Robert Wolanski
09/21/2011
Dr. M
09/22/2011
Dr. Tataru
09/23/2011
John Kong, DDS
09/23/2011
Rob
03/03/2012
dr.M
09/23/2011
Dr. Omar Olalde
09/24/2011
Felix Hartono
09/27/2011
stefano persia
09/27/2011
Dr. Juneja
12/22/2011
Richard Hughes, DDS, FAAI
03/04/2012
Featured Products
Classic 50/50 Mix
Promotes osteoconduction
Provides structural integrity
Convenient Syringe!
50/50 Cortical/Cancellous
Available in 3 sizes.
Eliminate hassle of mixing particulate grafts
Sold in packs of 5 or packs of 10.
Proven safe, and clinically effective
Resorbable collagen membrane derived from purified porcine pericardium
Fast hydration and excellent tensile strength
Good adaptation to various defects
Excellent tear function and duration
100% allograft
Eliminates mixing hassle
Moldable after hydration
Dr. Omar Olalde
09/20/2011