Splinted Provisional

A 42-year-old woman has toothache at #18.  This tooth is mesiolingually inclined with severe bone loss (Fig.1).  The tooth #19 has crown fracture with poor RCT and + PARL, although asymptomatic.  Due to finance, the tooth #18 will be extracted first (no Antibiotic, Fig.2 black area).  During socket treatment, the mesial portion of the tooth #17 is to be trimmed (Fig.2 purple area).  Osteotomy is initiated in the middle of the edentulous region (Fig.3 (red), in the mesial slope of the socket).  If the primary stability of the implant is acceptable, fabricate a splinted provisional for #18 and 19 with occlusal clearance.  The proximal contact with the neighboring teeth should be solid to increase retention.  The provisional should cover the socket completely.  Reline until satisfaction.  The last resort is periodontal dressing.  Impression and photos will be taken immediately preop.

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

Xin Wei, DDS, PhD, MS 1st edition 09/12/2016, last revision 01/19/2018