A 5x12 mm SM implant with periimplantitis at #30 is removed with a 5/6 mm trephine bur, small elevator and implant driver.  A 3.8 mm Magic drill is used to start a new osteotomy in the lingual wall of the old one.  With the final drill (4.8x13 mm), a 5x11(3) mm Magicore is placed (Fig.1-4).  The thin threads have cut into the bone.  骨质愈合后,钻洞位置更难控制,即使使用导板,坚硬舌侧骨板迫使钻头颊侧偏移(导板其实是盲目手术,不能发觉钻头偏移),只有在直视下,明确目的情境下,即刻重新植入才能准确,发生偏移,可以及时发现,纠正。

Immediate Redo 植体取出后处理之二 Last Next Xin Wei, DDS, PhD, MS 1st edition 08/26/2019, last revision 03/07/2021