The lower bicuspids (particularly 2nd ones) are closely related to the mental
nerve loop. Immediate implants are much safer than the traditional ones if
the osteotomy is confined to the original socket.
For primary stability, there is no necessity to let the implant engage into
apical new bone. Instead, a relatively larger implant (5.3 mm or more in
diameter) should be used. The only minor drawback is metal show.
1st Bicuspids |
2nd Bicuspid |
"Implant is so strong" |
No Distal Tooth |
#29 Root
Fracture Single Drill |
"No Pain" |
Isolate Tooth |
#20 Long Roots
Long Implant Mental
Loop |
Early, Over
Loading |
Fracture |
#29 Periimplantitis:
Immediate Redo |
Double Mental Loops |
Ideal Trajectory |
#29
Large Radiolucency
Close to Loop |
1-Piece Implants for Narrow Ridge |
Safety vs. Trajectory |
#29 Osteoporosis,
Underprep |
Pointed Ridge after Long term Loss of Function |
Next to Infection |
#20 Close to
Loop,
RPD as Surgical Guide |
Pointed Crest,
1 Piece
Narrower Crest,
Resection |
From Bridge to Implants |
#29
Distally-Deviated Root, Just Avoid
Loop |
Deviated Root
Reposition |
Root Length,
Mental Loop |
#29
Avoid Mental Loop;
11.5 mm
Implant |
Anchorage,
Deep Placement,
Banding,
#29
Redo |
Change Long Axis
Soft Bone
Next |
#19,20
Perio
Abscess Post SRP |
Mesiolingual Osteotomy;
Over Lingual Placement |
Fenestration Repair
Hard Bone |
#18-20 FPD will be
Sectioned
Twice
No Drill Osteotomy |
One Stage: Implant, Abutment, Graft, and PRF |
Endo Perio Disease |
Crowding 2 Premolars:
One Tooth
Width
Underprep |
Narrow
M-D Space,
Buccal Plate Atrophy |
Depth & Mental
Loop,
Malposition,
Reposition |
T
Retains
Bury Threads;
Mental Loop |
3.8x16 mm implant/5.5x5(5)
mm abutment |
Supraeruption &
Occlusal Clearance,
No Immediate Provisional |
29 Severe Periodontitis:
Deep Placement |
Perio,
Angled Abutment
Short,
Small Implant |
Immediate Re-placement
Extra Wide |
29 Soft Bone:
Bone Expanders, BEB, Cortical Tap |
20,21,28
Ball Abutments |
Change Trajectory
Early |
29 Narrow Space and Ridge |
28 Distolingual
Osteotomy |
Low Density Cancellous Bone (#20),
28,29 |
29 Post
Apicoectomy |
21 Add Ball Abutment for RPD
Retention |
Residual Root Next to Narrow Ridge |
29,30
FPD
Removed |
28
Exfoliation,
Ridge Narrow or Wide? |
Narrow 3-D Space
Bending |
20 DO Caries |
21 Lower Lingual Crest |
Treatment
options for #29 with PARL |
14,15,29
One Appt Increase Implant Length |
21
Narrow Ridge after Traumatic Extraction |
Implant at
Failed Site with Bone Loss |
29
Next to Necrosis Using Next Implant as
Anchor |
21 Subgingival Fracture,
Unexpected Shield |
Wide Mesiodistal Space X-ray
Angulation |
29
Redo
Shorter than Guide Design |
28
Implant
with
Ortho |
Retained
Deciduous Molar
Dense
Bone |
29,30
Splint
Provisional |
21
IS Guide for IBS Implant |
Post Socket Preservation
Bone Expansion |
29
Equigingival Fracture |
28
Concave
Fix
31 18 |
Buccal Defect
Lingual
Placement |
21,29
Narrow
M-D Space |
21 BioXclude 85y/o |
|
20 Lingual Abscess Lindamann Bur |
|
|
20 Thick Lingual Plate |