Possible Angled Abutment

A 44-year-old man will return for #28 extraction and immediate implant 2-3 months after removal of the implant at #31 (Fig.1).  After Clindamycin treatment, start osteotomy in the middle of the lingual wall of the socket (Fig.2,3 red line) with 1.6 mm for 13 mm (from oblique to straight).  Take PA to determine clearance from the Mental Loop (Fig.1 red dashed line).  If the trajectory is right, use 3.3 mm Magic Drill (MD) and possibly 3.8 mm one for short distance, since the bone density near the socket 700 units, while apically 100 units.  Or use a 4x11 mm IBS dummy implant instead of 3.8 mm MD.  An angled abutment may be used (Fig.2).  Also prepare UF in case the gingiva is thick.

Return to Lower Premolar Immediate Implant, #3, 31

Xin Wei, DDS, PhD, MS 1st edition 05/13/2017, last revision 06/24/2017