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
This was the site 1 week post op and I believe he lost the membrane and some of the grafting
This is approx a month later
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
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
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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