Removing Gutta Percha and Implant Placement: options?

I’d use the pilot implant drill to remove it and check X-rays. Wait 6-8 weeks and place implant

No you can't, no you can't, no you can't. A threphine dirll will do the job and even better regular implant dirlls. If any one has a better idea let me know, Please don't suggest the doctor to melt the guttapercha .

Remove tooth including remaining root; Lucas curette to curette socket, and size 4 or 6 round bur with slow speed handpiece gently against the socket wall. Take X-rays to confirm complete removal. DO NOT USE CHLOROFORM.

If we assume the guttapercha is in the proper direction through bone, I would assume it would be removed with your properly located osteotomy procedure. Just take more check films along the way.

DO NOT USE CHLOROFORM!!! Chloroform in bone? Really?!?!??? It's a no-brainer that the gutta percha will be automatically eliminated when you do your implant osteotomy, even from the pilot drill, and if not from the pilot then certainly from all subsequent drills. Just take an x-ray or two as you go along (which you should do anyway after the pilot drill to confirm proper angulation) to confirm full removal of the gutta percha. This isn't rocket science. Seems like we're getting more and more "1st grade" questions here. First that case with the bridge stuck over the implant abutments, now this. Both of these chaps should have enough clinical sense, even if they lack the experience to solve these basic, elementary problems on the spot, without having to ask anyone. Makes you wonder what they learn in dental school these days, and why they are in over their heads with such utterly simple things.

Why complicate? Use a 20 or 25 H-file and the Gutta will be very easy to remove. Then you can use a lindeman bur or a Peeso #4 or 5 or 6 to further clean the remnants. Then you can place the implant obviously not where the gutta was because of the bone availability, but rather palatally. Graft if needed (less then 1,5mm buccal bone).

Hello, a nice strange case, thank you for sharing. I would use the round bur of the surgical kit with irrigation. Check with X ray, until it is clean. Antibiotic therapy. Wait for 3 weeks. Do implant surgery. Good luck!!

Adjacent incisor is not vital, with definitely brittle enamel/dentin structure and cosmetically affected. The best option for the patient (after gutta percha removing) is making a cantilever for lateral incisor from the central one. It will prevent its future fracture, restore function and cosmetics.

Appreciate the help with this case, I haven't seen one resorbe this much before.