The mobile implant has to be removed; everything has to be done again.  When we double check Mr. Tang's history of antibiotic before the 2nd surgery, he reveals that he did not follow the instruction for the 2nd time.  He was reluctant to take the medicine in the office.  It may be a little too late.  The antibiotic should have been taken 1-3 days before surgery in order to control infection effectively.  When the implant is removed and drills (Fig.9 D) are being used around the infected area, the patient experiences pain again.  With sound anesthesia, repeated X-ray and careful measurements (how far to the nerve (N in Fig.10) and adjustment of the length of drills, a larger and much longer implant is placed with stability (Fig.11,12).  

Antibiotic &. Immediate Implant

Xin Wei, DDS, PhD, MS 1st edition 01/04/2015, last revision 01/04/2015