Implant with Sinus Tract: How Would You Approach This?
Last Updated: Mar 16, 2008
Dr. JK asks:
I extracted tooth #6 [maxillary right canine] which had a vertical fracture on the buccal and sinus tract. I traced the sinus tract with a gutta-percha cone and a periapical radiograph. The tooth was removed and moderate granulation tissue was removed. There was a dehiscence and Bio-Oss with BioGuide membrane were used to close the gap. Primary closure was obtained.
A bonded provisional was used and 6 months later a 5x16mm tapered implant was used with 40Ncm fixation. More Bio-Oss was placed on the buccal to reinforce the hard and soft tissue. An immediate temporary abutment and crown (light interproximal contacts and completely out of occlusion)were utilized.
Five months have gone by. Soft tissue looks normal and with adequate volume. However, about 4mm coronal to the gingival margin there is a sinus tract. It was traced and radiographically it stops on the buccal of the implant. The implant is not mobile and integration from the radiograph is WNL. Probing is normal and the pt is asymptomatic. How would you approach this issue? My first thought is full thickness flap and surgical exploration/ possible degranulation and subsequent bone grafting. Would appreciate any thoughts.
10 Comments on Implant with Sinus Tract: How Would You Approach This?
4perio
03/18/2008
avikdandapat
03/19/2008
almez
03/19/2008
AVIK
03/20/2008
JW
03/26/2008
4perio
03/26/2008
NF
06/13/2008
Ambrish
06/14/2008
peter Shieh
06/26/2008
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