My patient returned from a specialist who placed an implant in the upper right lateral incisor site. She reports that he took no radiographs. She now has considerable pain in the adjacent canine that isn’t improving. I took radiographs and found the implant in contact with the root of the canine.
1. Is it acceptable not to take radiographs at the placement of an implant? I have other specialists doing this also. This is not how I was trained. Have I missed an update on placement techniques?
2. As the restoring dentist surely I can’t restore this. Should I call the surgeon and ask him to explain?
3. What is the likely timeframe of irreversible damage to the canine? Can this be salvaged, if the implant is removed asap. It has been in situ for 7 days.
All input and advice appreciated.