Fracture of Buccal Cortical Plate During Extraction and Immediate Placement: Best Plan?
Last Updated: Jan 11, 2010
Dr. H. asks:
I extracted a maxillary left canine [#11] and immediately placed a 4.1mm implant. During the extraction procedure, the buccal cortical plate fractured. After inserting the implant and obtaining primary stability, I repositioned the broken fragment of bone of the buccal cortical plate, placed demineralized freeze dried bone and covered with a membrane for a guided bone regeneration technique. The site appeared to heal well and the implant appeared to osseointegrate uneventfully. After 3 months, I uncovered the implant and placed an abutment and crown. During the torquing down of the abutment [preloading], the patient complained of pain and slight mobility which persisted for a week. But after 2 weeks now the pain is gone and there is no mobility. Should I just wait and watch now?
7 Comments on Fracture of Buccal Cortical Plate During Extraction and Immediate Placement: Best Plan?
Don Callan
01/12/2010
Dr.Serge
01/13/2010
Dr.Hajiheshmati
01/16/2010
Dr.Ashok kakar.Dentist
01/19/2010
Dr. Dennis Nimchuk
01/24/2010
Dr.Hajiheshmati
06/09/2010
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