2nd Contra-indication of Guided Immediate Implant M

A 58-year-old woman has infection after RCT at #31, as related to mesial root fracture (Fig.1 <).  Although primary stability should be able to be achieved (3.8 mm in the native bone), a 5x13 mm immediate implant may be too long for mouth opening with guide.  Augma may be indicated.   Use a condenser to push bone cement apical.   But the inventor does not agree.  Take preop photos to show the buccal fistula.   Prepare IBS kit for free hand placement and GEM21S.  Without immediate implant, the buccal plate will collapse.58岁女右下7（31号牙）根管治疗后感染，与近中根断裂有关（图一）。注意颊侧（B）骨板缺失。

Prevent Molar Periimplantitis (Protocols, Table)  No Deviation  Clindamycin  GEM21S Cases 修复

Xin Wei, DDS, PhD, MS 1st edition 03/04/2020, last revision 11/27/2020