< List
Implantology

please help, potential issue with implant placement?

1
dent123
2024.02.18
Likes 0
Views274
Comments 0
I did an immediate implant placement on the lower right hand side first molar on Jan 4. 
 
I placed allograft 50/50 allograft and membrane over the implant. 
 
Cover screw and buried the implant.
 
It’s a Biohorizons 5.2 by 9mm 
 
Following up with the pt. 
 
I noticed the membrane was gone about a week after the surgery. I think the sutures didn’t hold and he lost the membrane and some of the bone grafting. 
 
Now a month later, the implant cover screw is exposed….
 
I’m not sure what to do? 
 
Take the implant out? And graft the site? And redo 5-6 months later? 
 
Attempt to take the cover screw off and regraft?
 
Please help
 
Pt is such a nice guy 
 
Image

 

Image

 

Image

 

Image

 

Image

 

Image

 

This was the site 1 week post op and I believe he lost the membrane and some of the grafting 
 
 
Image
 
 
This is approx a month later 
 
Image
 
Another photo 1 month later post op 
 
 
Is there crestal bone loss?? 
 
 
The radiograph taken today which is this one seems like there’s bone loss at the top 
 
 
Image
 
 
Update on this case: 
 
I ended up going in and replacing the cover screw with a HA 
 
About a month after 
 
 
5 months later and saw the pt for a recall
 
Image
 
That looks pretty good doesn’t it? For healing? 
 
I don’t have a Pa but I will take one after they come back next month for review 

Comments

Dental Forum

General Dentistry Will it crack
1
dent123
Views 305
Likes 0
2024.02.18
Will it crack
Prosthodontics Post or no post #45
1
dent123
Views 237
Likes 0
2024.02.18
Post or no post #45
Oral Radiology What is this on the pano?
1
dent123
Views 258
Likes 0
2024.02.18
What is this on the pano?
Implantology please help, potential issue with implant placement?
1
dent123
Views 274
Likes 0
2024.02.18
please help, potential issue with implant placement?
Endodontics Endo on upper first premolar
1
dent123
Views 252
Likes 0
2024.02.18
Endo on upper first premolar
Anesthesiology possible lingual nerve damage
1
dent123
Views 273
Likes 0
2024.02.18
Write
Sort by
page 1