This patient presented for extractions, socket preservation and implant installation. Implants were installed in #10, 19, 20, 29 sites [maxillary left lateral incisor; mandibular left first and second premolars; mandibular right second premolar; 22, 36, 35, 46]. The implant in #10 site is rather close to the root of #9 [maxillary left central incisor; 21] and I am concerned for long term success and avoidance of complications. Would it be better to explant the implant in #10 site and reposition it more favorably? Would it be best to then do a block graft, wait 6 months for osseointegration and healing and then install a new implant? Or should I just observe the situation for now? How long should I wait before restoring it in the absence of symptoms?
(click images to enlarge)
Single upper implant
Single lower implant left
Single lower implant right
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