Expanders for Upper 2nd Molar Implant

A 49-year-old lady has history of periodontal disease (Fig.1).  The teeth #2 and 19 have been extracted and replaced by immediate implants.  When she returns, crown is going to be cemented at #19 and delayed implant will be placed at #15.  The tooth was extracted 4.5 years ago.  No PA has been taken since extraction.  Fig.2,3 show design for immediate implant if the tooth were not extracted (*: mesial crest; O: bone graft).   Note the orientation of the implant and the space from the neighboring tooth.

#15 blade will be used for access and periosteal elevator for opening osteotomy site.   Set implant spacer at 4 mm.  Since the maxillary posterior region usually has poor bone density, bone expander kit will be most likely used until 2-3 sizes smaller than the expected implant.   The latter will be decided by preop and intraop X-ray.

An abutment will be placed if indicated.  There may be a vertical issue considering extraction long time ago.  The opposing tooth may be adjusted prior to an immediate provisional.

Return to Upper Molar Immediate Implant

Xin Wei, DDS, PhD, MS 1st edition 06/14/2015, last revision 06/16/2015