Distolingual Osteotomy

A 40-year-old man (hypertension) without history of cleaning presents to clinic with residual root at #28 (Fig.1).  Next visit, SRP will be performed on the right side with extraction of the tooth #1; PA to be taken for #28.  Following SRP on the left side at next appointment, extraction and implant (IS) will be done for the tooth #28.  Because of the Mental Loop (buccal, red dashed line) and the distally curved apex of the tooth #27 (*), the initial osteotomy will be established distolingual aspect of the socket for ~ 4 mm past the bottom of the socket.  Take PA immediately and change the trajectory if needed.

Return to Lower Premolar Immediate Implant, Armaments, No Antibiotic

Xin Wei, DDS, PhD, MS 1st edition 01/17/2018, last revision 09/03/2018