Fractured implant: Remove or bury?

Last Updated June 08, 2017

This is a case that came into my office recently. The implant in question is fractured, causing the abutment and crown to be dislodged. You can see the distal aspect of the occlusal platform bulges out and this implant will no longer support an abutment or screw. The healing abutment that I placed will also not stay on, so the question is what would you do now? The patient does not want another implant in this area and thinks a fixed bridge might be his best option, but would you remove the implant? Let it “sleep”? What about that pesky sinus sitting above the implant? What do you recommend?

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