I installed implants in an 82 year old female in excellent health in the following sites: #4, 5 [maxillary right first and second premolars; 15, 14], #12, 13 [maxillary left first and second permolars; 24,25], #19 [mandibular left first molar; 36], #25 [mandibular left central incisor; 41], #30 [mandibular right first molar; 46]. Six of the implants were Nobel Active and one was Nobel Speedy Groovy, and one was Nobel Replace Tapered Groovy. All implants were torqued to 45 Ncm to establish good primary stability. Implants were loaded in one week postoperatively in occlusion. Four weeks post-surgery and 3 weeks post-restoration the panoramic radiograph shows radiolucencies around all the implants. Patient is otherwise asymptomatic . There is no pain or inflammation in the peri-implant tissue and patient is eating well. Do the radiolucencies indicate overloading the occlusion? Do I need to do something at this stage to avoid failure or are radiolucencies a normal finding at the 4 week stage?
OPG after 3 weeks of loading
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