Short Implant at Lower 2nd Molar

A 53-year-old man will return for #18 extraction and implant because of endo failure after the same treatment at #14 (Fig.1).  It appears that the mesiolingual canal is missing for RCT (Fig.2 (coronal section at the mesial root)).  Bony defect is buccodistal; try to place an implant as mesiolingual as possible (Fig.3 (axial section)).  To reduce lingual (L) plate perforation and neuropathy (orange), the implant is expected to be 5-6x9 mm (Fig.4,5).  Use 4 mm stopper from DIO Sinus Kit for osteotomy (Fig.1,4,5).  If his vein is prominent, prepare PRF 1-2 tubes.

Return to Lower Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols, Table), IBS, Metronidazole, 15/18

Xin Wei, DDS, PhD, MS 1st edition 10/07/2017, last revision 05/27/2019