Implant #8 area: suggestions grafting?

Last Updated: Feb 27, 2020

My patient desires an implant for #8. Facial plate is present, but there is obvious defect (canal) on lingual. Suggestions on bone grafting the lingual aspect here? Release tissue, well enough with releasing incisions, decorticate, and place particulate bone graft and membrane? Thank you in advance!

4 Comments on Implant #8 area: suggestions grafting?

Comments Closed

New comments are currently closed for this post.

mark simpson

02/27/2020

This is why bridges were invented

Dr. JLD

03/09/2020

Agree 100%. Bridges still have value.

Brian

02/27/2020

Wow! Tough case indeed. Many have disected the NP canal and grafted bone right into the site. I personally have never done that and not a big fan of that. I would consider instead Grafting the buccal via Khoury technique or any other predictable technique and widen it buccally instead and place implant slightly more buccal and use custom abutment. I also would consider a narrow implant here (like a 3.0 or 3.5mm). As mentioned, Bridge may not be a bad option either, pending what the patient elects. Good luck and keep us posted!

Dr Dale Gerke, BDS, BScDe

02/27/2020

What does the CT look like if you position the implant 1.5 mm distal to your proposed position?

« implant above tissue prep the margin on implant itself implant 5mm below gingival margin should i be worried about future bonegingival recession »