Mesial Root of #30 is Retained and in the way of Osteotomy: Any Suggestions?

Okay, this is simple, especially for an experienced periodontist. Raise flap Remove root fragment If possible, place implant If implant not possible, graft Suture flap and return in 3-4 months to place implant. This is basic. It sounds to me like the problem you are having is telling the patient that the piece of tooth will delay things, and possibly add another surgery. Do not "drill out piece with implant drills" while placing implant. This is a blind procedure and could seed bacteria. In addition, you are turning something really simple into a stressful procedure with a lower procedure rate. Yes you can get away with it sometimes, but it could come back and haunt you. Be honest with your patient and make things easy and predictable for yourself, while protecting your referral at the same time. Have you told the referral about the fragment.? He will probably be thankful that you are fixing his over site.

Hi, piezo the root out and augment wait 6/12 then implant

Dear colleague You've better take that fragment out surgically (which is described by sb oms precisely). After that, you must currette the socket carefully, rinse it copiously, and use widest fixture possible (eg. Bicon) trying to strart at a more distal point (put your pilot drill in the place where distal root was). I am almost sure you would have a very good primary stability. Graft the socket using valuable huge amount of bone you can harvest (if you used Bicon), place mambrane and suture it. truly yours

You have a few choices. If you want to place an implant, you can either avoid the root (need a cone beam scan to verify), remove the root, or if there's no pathology, drill up to and/or through it. You can look in the literature and Dr. Serge Smuckler-Moncler (and others) have published an article on that subject. I know the concept seems a bit far-fetched, but I have 2 implants placed in contact with retained roots and/or teeth. One has been in function for over a year, the other has not been loaded as of this time.

If there is no periapical pathology just drill it out and place your implant . Wish you all the best

Agree with the first response. I would not even consider leaving the root.