Patient with history of draining sinus tract: treatment plan?

Last Updated February 23, 2020

I have a 45 year old female patient with a history of a draining sinus tract for the last year from tooth #9 [maxillary left central incisor;21]. It was non-vital and discolored. The extraction was done 1 month prior. The patient is asymptomatic without any signs of soft tissue swelling or purulence. The periapical radiograph shows a periapical pathosis with bone loss. I plan to debride the extraction socket and install the implant fixture slightly to the palatal and to do a bone graft with PRF. Is this a treatment plan with a high expectation for success? Do you have any other recommendations on how to proceed?


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