Possible Unfavorable Implant/Crown Ratio

A 48-year-old woman has generalized moderate localized (#3,14) advanced periodontitis (Fig.1).  The edentulous area at #6 has been restored.  Now the tooth #3 has mobility III (Fig.2), while #14 has exfoliated (Fig.3,4).  If the tooth #3 is symptomatic, extract it for immediate implant.  Otherwise use Magic Split to initiate access and osteotomy expansion, followed by Magic Expanders (3.0 and 3.8 mm) or Magic Sinus Lifter.  Insert Tatum tapered taps.  If the gingiva is excessively long, switch to UF implant for mill abutment.

In fact the tooth #3 is not exfoliated.  Take PA preop for height measurement.  If the bone height is less than 8 mm, use IS drills with shorter stoppers.  Use Bone Scalpels and Bone Blades to start osteotomy, followed by Rounded Tapered osteotomes.  Prepare the implant kit if the bone turns out to be dense.  Take photos and PA for #6.

Return to Upper Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols, Table), Armaments, No Antibiotic

Xin Wei, DDS, PhD, MS 1st edition 12/26/2017, last revision 03/10/2019