Possible Post-Related Root Fracture
A 47-year-old man cannot chew in the lower right quadrant due to mobility of the tooth #29, which has a post (Fig.1 <). It appears that there is a buccal vertical fracture line. After extraction, osteotomy will be initiated in the mesiolingual aspect of the socket for 7 mm (Fig.2,3). The bone is dense (600-1,000 units); drills are required. Take a PA to confirm the trajectory. Following sequential osteotomy, place a 4x11mm dummy implant before placing a 4x9 or 11 mm definitive one, depending on bone resorption in the last 6 months (compare Fig.2,3 vs. 1).
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Premolar Immediate Implant,
Armaments,
Metronidazole
Xin Wei, DDS, PhD, MS 1st edition 01/06/2018, last revision 09/16/2018