Apicected incisors
A fit and healthy woman in mid forties presented with chronic sinus from upper right central incisor. The central and lateral had been damged in accident as child and had undergone root filling, post crown and apicetomies with retrograde root fillings (amalgam) x2 each. Last apicectomies approx ten years ago. The central had obviously failed but lateral was asymptomatic and there was no buccal plate tenderness. She has no medical problems, good oral hygiene, high smile line and high expectations. My plan would be to remove central, allow to heal and 6 weeks later place implant +/- bone augmentation. But I am worried lateral is unstable and could compromise implant but if I take central and lateral out and resore with single implant in central position am I oevrtreating. Second question is regarding these chronic sinus cases does anyone have experience of socket preservation when socket is infected, if it can work what is success rate and what are the tricks, I am thinking maybe pre-treat with systemic antibiotics for one week then remove tooth, irrigate and pack socket with Bio-oss and collagen plug on top??
periapical at presentation
Photo Courtesy of:
Luke Cascarini
Click Here to see a larger image and add your comment
Recent Cases
Avoiding Sinus Lift with BCS Implants 
This patient wanted to have fixed teeth in right m... >>Read More and See Case Photos Replace Select Internal or External?
A patient had implants placed a number of years (... >>Read More and See Case Photos Use of Surgical Guides
One of the most important things I like to teach i... >>Read More and See Case Photos Bone Loss 5wks single piece 3mm wide UNO
Hi all, I am a novice at implants, placed in t... >>Read More and See Case Photos Nand Kumar,64-M
This patient met with an accident while riding a s... >>Read More and See Case Photos
This patient wanted to have fixed teeth in right m... >>Read More and See Case Photos Replace Select Internal or External?
A patient had implants placed a number of years (... >>Read More and See Case Photos Use of Surgical Guides
One of the most important things I like to teach i... >>Read More and See Case Photos Bone Loss 5wks single piece 3mm wide UNO
Hi all, I am a novice at implants, placed in t... >>Read More and See Case Photos Nand Kumar,64-M
This patient met with an accident while riding a s... >>Read More and See Case Photos
Recent Comments
Post Restoration Picture
dr.shahzad zafar comments:
salam to all viewrs,i hv 1 question regardind temporary restoration immediately placed.sir,can we av .
>> Read More
Ideal Location and Implant Diameter
dr.shahzad zafar comments:
nice to see it.one question in mind if b answered pl,are these blades made to guide for placing all .
>> Read More
surgical guide seated
drnaz comments:
Burbank Dental Lab is my lab. Their number is 1800-336-3053. Ask to speak with Tony. .
>> Read More
surgical guide seated
drnaz comments:
The lab places the metal sleeves into the surgical guide themselves, so I don't know who their suppl .
>> Read More
surgical guide seated
Chin Lim comments:
where do you get the sleeves for the implant placement? .
>> Read More
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 .
>> Read More
>>Browse Recent Case CommentsSubscribe for FREE!
Keep current on the latest dental implant discussions! It's Free!
