Failed immediate implant: thoughts?

I placed a 3.75x13mm implant immediately after extraction.  I used 45Ncm on insertion and achieved primary stability.  I grafted with TCP (Beta-tricalcium phosphate).  The healing period was uneventful.  The patient is a heavy smoker (cigars).  After 4 months, I tried to manually unscrew the cover screw and the implant unscrewed with it.  What are your thoughts and recommendations?



2 thoughts on “Failed immediate implant: thoughts?

  1. Paul says:

    Based on one experience only I can share that I have a patient who is a smoker and placed a single implant and covered the implant completely with soft tissue.
    On the same patient I placed an implant in a different location of the maxilla with an immediate temporary restoration because patient insisted and signed uninformed consent against my advice because of smoking.
    Four months later that implant failed before a permanent restoration was provided. Patient did not experience any symptoms and the radiograph affirmed failure. On the other hand the implant that experienced osseous integration “under cover” is successful.

    (0)
  2. WJ Starck DDS says:

    Not enough info to make an educated guess.

    But it looks to me like you were planning to replace a molar with a 3.75 mm implant. What was your reasoning for that?

    (0)

Leave a Comment:

Comment Guidelines: By posting comments you agree to accept our Terms of Use, Disclaimer and Privacy Policy. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Clinical Cases, Surgical.
Bookmark Failed immediate implant: thoughts?

Videos to Watch:

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!
Ridge Splitting Cases in Narrow Alveolar ridge

This videos shows ridge splitting, which when combined with bone expansion, is an effective technique[...]

Watch Now!
Placement of 4 Implants and Cement-Retained Bridge

The treatment plan was to extract the lower incisors, canines, and lower premolar and place[...]

Watch Now!
Failing Bridge Replaced with Dental Implant Supported Bridge

Ahe patient presented with a failed dental bridge from the upper right canine to the[...]

Watch Now!
Lateral Sinus Augmentation with CGF

Following membrane elevation with the lateral approach, and confirmation of an intact sinus membrane, concentrated[...]

Watch Now!
Titanium Mesh for Ridge Augmentation

The use of titanium mesh is a reliable method for ridge augmentation to provide adequate[...]

2 Comments

Watch Now!
Implant Grafting Techniques: Demineralized Sponge Strip and Tunneling

This video reviews several unique grafting and surgical techniques, including the use of demineralized cancellous[...]

Watch Now!
Mandibular Fixed Screw Retained Restoration

This video shows the use of a surgical guide for a mandibular fixed screw retained[...]

1 Comment

Watch Now!
Clinical Tip for Fixation of a Collagen Membrane

This video provides a clinical tip with regards to the fixation of a collagen membrane.[...]

Watch Now!