Implantology
please help, potential issue with implant placement?
1
dent123
2024.02.18
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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](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112130486.jpg)
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/2023021311215844.jpg)
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112213159.jpg)
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112232675.jpg)
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112249409.jpg)
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112305426.jpg)
This was the site 1 week post op and I believe he lost the membrane and some of the grafting
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/2023021311234177.jpg)
This is approx a month later
![Image](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112404646.jpg)
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](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230213112511601.jpg)
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](https://www.dentaltown.com/MessageBoard/UserUploads/Images/295458/20230511094032621.jpg)
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
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