Possible Perimplantitis
When the 75-year-old woman presents to clinic with #25 mobility, she is also concerned about gingival hemorrhage. It appears that the buccal plate is lost at #10 and 30 (Fig.2,3), as compared to #7, 19, 20 (Fig.1,4,5). Block graft may be required (Fig.6,7 for #10 for example). In fact there is tenderness buccal to the implant at #30. The patient has been using water pik and will carry it while traveling.
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Trajectory
Xin Wei, DDS, PhD, MS 1st edition
05/26/2019, last revision
05/29/2019