Root tip in the implant’s path: what would you do?

Last Updated May 15, 2017
Reviewed By:  Dr. Peter Hunt

Dear colleagues, this patient presented with a missing maxillary second premolar with a root tip at its apex. If this were smaller, I would probably just plan on drilling through it. But it is fairly large and dislocated to the buccal side. Plus, if I extract the root tip, I guess there would be not a lot of bone left apically to stabilize the implant. What would you do? Extract and graft?

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