Hi group. Looking for some suggestions here. Implant placed as immediate into lateral incisor position about 8 months ago. Patient is a smoker and presently feels some tenderness to palpation of the gingiva on the buccal cervical area of the implant. Implant is 15 mm long and is well integrated. No exudate is present. There is no discomfort when the implant itself is touched. As you can see there is bone loss around the top 3 threads. My thoughts are that the facial threads of the implant are exposed causing the tenderness. I have heard different opinions includiing: 1) do nothing 2) flap and remove granulation tissue, clean implant, place bone and membrane and close. 3) flap and polish exposed facial threads. I an leaning towards 2 above based on our discussion here. If I do this, how long should I wait until restoring the tooth? Does anyone have a preferred bone grafting material for this? Has anyone used DynaBlast here? Thanks in advance for your help Craig
surgical guide seated
drnaz comments:
Burbank Dental Lab is my lab. Their number is 1800-336-3053. Ask to speak with Tony. .
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surgical guide seated
drnaz comments:
The lab places the metal sleeves into the surgical guide themselves, so I don't know who their suppl .
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surgical guide seated
Chin Lim comments:
where do you get the sleeves for the implant placement? .
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kurien
Amayev comments:
The x-ray show about 4 or 5 mm you have. Again for definite size you need CT scan.
But I think you .
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gingival level
Amayev comments:
The photo show that this patient has periodontal issues. I think your imlant placed to deep and you .
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25 apex
rahib comments:
have you had a ENT take a look- it's so hard to tell pathology versus variant of normal. maybe wait .
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