Dummy Implant

A fistula is found apical to #13 immediate implant 9 months postop (Fig.1).  It is curetted without bony defect.  Osteotomy at #15 is accomplished with traditional tapered osteotomes from 2 to 5 mm for 11 mm deep.  Although the patient is a little uncomfortable with tapping (as compared to Magic Expanders), a 4.5x11 mm dummy implant is placed 2 mm subgingival with primary stability (Fig.2).  Finally a 5x11 mm IBS implant (2 mm longer than the previous one) is placed with insertion torque > 50 Ncm; a 6x2 mm healing abutment is placed (Fig.3,4).  The advantages of the flapless surgery (because of the wide ridge) include no allograft or suture.  The fistula apical to #13 implant disappears 3 days postop (Fig.5), while the gingiva attaches to the healing abutment at #15 (Fig.6).

Return to Upper Molar Immediate Implant Course 1 2 Xin Wei, DDS, PhD, MS 1st edition 09/12/2017, last revision 09/15/2017