Augma Post Implant Removal I

A 66-year-old man returns with chief complaint of chewing pain lower left.  There is severe bone loss around the implant at #19 (Fig.1,2).  Section the crown, remove the 6 mm abutment (no cement) and 7 mm implant.  After debridement and copious irrigation, place Augma, press, place Collagen plug and 4-0 PGA.  Take PA and place acrylic or periodontal dressing if needed.   Is the defect too large for 1 cc Bond Apatite?  Place allograft in the bottom of the defect before Bond Apatite?

Hi Dr. Xin
This case is not a case to start with, since it has also some vertical component.
The most important here is the stability and the compaction of the graft .
I do recommend to start with more simple cases until passing the short learning curve.
Keep me posted
Best
Amos Mar 9 at 3:55 PM

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Xin Wei, DDS, PhD, MS 1st edition 03/07/2020, last revision 07/18/2020