Salvation Implants

A 65-year-old woman will return to clinic with chief complaint of "loose top left implant bridge" 2.5 years post cementation.  It appears that the implant at #9 is placed into the incisive canal (Fig.1 *) with coronal implant thread exposure (>).  If it is true that the problem is #9.  The denture tooth #8 will be removed so that the upper partial denture will be used a guide.  One-piece implants will be placed at #8 and 10.  The implant at #9 will be removed for bone graft as a future implant site, since the implant at #10 is 2 mm in diameter, vulnerable to fracture under mastication.  If her vein is thin for PRF, consider using GEM21S to hydrate cortical bone.  In fact the implant at #9 fractures at the junction of bone loss (Fig.4,5 ^).  Full-mouth CT will be taken.  Alginate impression will be taken for #8-10 surgical stent and provisional.  Remove #8 denture tooth for implant placement with incision.  Section the FPD between #10 and 11 for #10 implant placement using #9 broken implant as a guide when PA is taken.  Remove the fractured implant and make a provisional.

Return to No Deviation 1-Piece Xin Wei, DDS, PhD, MS 1st edition 05/03/2020, last revision 12/26/2020