implant special

Gutta percha apical socket: Remove gutta or Place shorter implant?

Last Updated April 13, 2017
Reviewed By:  OsseoNews Team

I have treatment planned a patient for an implant in #30 site to replace a mandibular first molar that I extracted because of failed root canal treatment and failed attempts at re-treatment. When I extracted the tooth, I placed a cortical bone graft. Four months later when the patient returned, I took a CBCT and noted fragments of gutta percha remaining in the cancellous bone from a prior gutta percha overfill. I had planned to place a 5×11.5mm implant. But if I do that, I will come into contact with the gutta percha fragments. Should I attempt to remove the gutta percha fragments at the time of the osteotomy? Should I use a shorter implant, like a 5x10mm? Or should I just go ahead and place the implant and just observe if there is a complication associated with the gutta percha fragments?

Bone Grafts

Wide selection of grafting materials for all clinical needs!


Deliver predictable results with resorbable or non-resorbable options!

Surgical Kits

Specialized kits for Implant Surgery. Fixation Screws, PRF, and more!


20801 Biscayne Boulevard, Suite 403 Aventura, FL 33180