Immediate Implant & PRF

A 59-year-old man is a bruxer, fracturing the teeth #8 and 9.  Now the tooth #2 seems to have fractured (Fig.1).  Since the apices appear to protrude into the sinus, either 7x14 mm tissue-level (Fig.2) or 6.9x10 mm bone-level (Fig.3) implant will most likely penetrate the sinus floor (red dashed line).  To protect the sinus membrane, PRF membrane or plug (blue curved line) is to be placed prior to bone graft (yellow circles) and implant placement.  Prepare Magic Expanders and Magic Sinus Lifter.  Clindamycin will be used after extraction.  Since the roots of the upper 2nd molar usually fuse, prepare large gauzes for hemostasis.  Check the buccal and palatal walls for any defect.  Start osteotomy away from the defective wall.  Place the remaining PRF membrane for wall repair before bone graft.  Set stopper 2 mm short of the intended bone-level implant length.

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

Xin Wei, DDS, PhD, MS 1st edition 01/27/2017, last revision 10/02/2019