The failing implant will be replaced with one (larger in diameter (5-6 mm), but shorter (7.3 mm after 5x10 mm IS dummy) with SLA surface after debridement and bone graft.  Change the trajectory so that the coronal end will be more mesial (Fig.12 blue line).  Use a healing screw and try to close the wound.  In fact the patient reveals history of osteoporosis.

1-mm Sinus Floor Course 2 CMC Last Next

Xin Wei, DDS, PhD, MS 1st edition 05/23/2018, last revision 09/30/2018