Crestal Approach with Membrane Control (CMC)

A 54-year-old woman has history of chronic periodontitis with bruxism.  Bone loss at the tooth #14 starts at the mesial crest (Fig.1: 2008), extends to the mesial root (Fig.2, 2015) and the palatal one (Fig.3, 2016).  The periodontal pockets are deep with mobility III.  Since the defect is large with low bone density, Magic osteotomes are going to be used for CMC immediately after extraction (Clindamycin).  If there is no history of sinusitis, a 11 mm long implant will be placed (Fig.4).  Allograft (.5-1.5 mm) will be delivered with the large bone carrier for CMC (prior to implant placement) and the amalgam carriers for socket gap closure (before and after implant placement).

Return to Upper Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols, Table), IBS

Xin Wei, DDS, PhD, MS 1st edition 09/21/2016, last revision 01/04/2019