No Immediate Provisional for Partial Edentulism

A 76-year-old man with history of chronic periodontitis requests treatment because of loss of one of two abutment teeth for the lower removable partial denture (RPD, #19, Fig.1,2).  After infiltration anesthesia, use RPD as a surgical guide and the smallest drill to start initial osteotomy through the mucosa, followed by incision.  The initial depth will be 7 or 8 mm (Fig.3).  With insertion of a parallel pin, PA is taken.  An adjustable torque wrench is to be used for implant placement (Fig.4).  Find a proper implant driver tip for the wrench (Fig.5 <).  No matter how much primary stability is, no immediate provisional will be fabricated because of instability of RPD.  A healing abutment may be placed or a tissue-level implant is placed, probably with periodontal dressing.  Soft reline may be used to seal the edentulous space.  Take photos of the RPD in the mouth.

Return to Lower Molar Immediate Implant, Posterior Immediate Provisional, IBS

Xin Wei, DDS, PhD, MS 1st edition 07/24/2016, last revision 07/28/2016