Radiolucency adjacent to implant: thoughts?
Last Updated: Nov 18, 2019
This patient is a healthy 30 yr old male who had this implant placed due to congenitally missing left mandibular second bicuspid. The primary tooth was extracted more than 10 years ago. He declined orthodontic treatment prior to implant placement. A Nobel Conical Connection implant was placed surgically with healing abutment for 4 months (first PA). Healing period was uneventful
An impression was taken after 4 months and the tissue was healthy, no inflammation was present and the implant was integrated. An x-ray was taken to confirm seating of the impression coping (second PA) and a small radiolucency was visible on the mesial of the implant body. Comparing this to the x-ray taken at the time of placement there was also some radiolucency at that location at that time as well. Therefore this was determined to be a bone marrow space / trabeculation.
The crown was placed 3 weeks later and an X-ray was also taken that day. Again there is a radiolucency in this area (mesial of implant) which is consistent with the previous x-rays. Again there were no symptoms, no inflammation, and the implant is integrated. The implant crown is protected by good canine guidance and there is absolutely zero contact on excursive movements and there is also shim relief in centric. Because of this the implant will not be subject to excessive occlusion forces. The soft tissue is healthy. I advised that we would monitor this site closely taking a PA in 4-6 months time to check for remodelling. This is my approach at this time.
Is this simply just the bone architecture in this area or are we seeing something more that this?
15 Comments on Radiolucency adjacent to implant: thoughts?
Dan
11/18/2019
roadkingdoc
11/18/2019
roadkingdoc
11/18/2019
Carlos Boudet, DDS DICOI
11/18/2019
Peter Hunt
11/18/2019
Dr. Gerald Rudick
11/18/2019
samiam
11/18/2019
Sajjad A. Khan
11/18/2019
Sajjad A. Khan
11/18/2019
Hans-Jurgen
11/18/2019
Charles
11/18/2019
Dr. AA Conradi OMFS DMD
11/18/2019
Timothy C Carter
11/19/2019
Corina Pintea Ceacoschi
11/19/2019
Featured Products
Classic 50/50 Mix
Promotes osteoconduction
Provides structural integrity
Convenient Syringe!
50/50 Cortical/Cancellous
Available in 3 sizes.
Eliminate hassle of mixing particulate grafts
Sold in packs of 5 or packs of 10.
Proven safe, and clinically effective
Resorbable collagen membrane derived from purified porcine pericardium
Fast hydration and excellent tensile strength
Good adaptation to various defects
Excellent tear function and duration
100% allograft
Eliminates mixing hassle
Moldable after hydration
Neil Zachs DMD, MS
11/18/2019