Long Bone and Possible Osteoporosis I

A 59-year-old woman has 2 issues: abscess mesiopalatal to #1 and a 30-year-old #4-6 cantilever FPD with a diastema between #6 and 7 (a cosmetic issue in the patient's mind, Fig.1).  Since there is a lot of bone at #6 with apparently low bone density (Fig.2), a long implant will be placed: either 1- (SM, IS, or Tatum) or 2-pieces (UF).  Take photos to show a gap mesioapical to the pontic and the narrow ridge (incisal view) after pontic removal.  Use Magic Split for access and initial bone expansion.

The tooth #1 will be extracted first, immediately followed by osteotomy at #2 (in the mesial slope of the tooth #1, obliquely (Fig.3 arrow) with 8.5 mm initial depth.  When osteotomy increases to 3.8 mm in diameter, use 3.6 mm S-reamer for sinus lift.

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

Xin Wei, DDS, PhD, MS 1st edition 11/19/2017, last revision 01/19/2020