Bruxism I

A 47-year-old man has pain at #2 and 15, while #14 has mesiolingual subgingival fracture (asymptomatic, Fig.1).  #2 is deemed non-salvageable by an endodontist, whereas RCT is finished at #15.  When the patient returns for restoration, he reports that the filling is out at #15.  In fact it has subcrestal fracture (Fig.2), while #14 equicrestal and difficult to restore (Fig.3).  Although the patient agrees to have implants at #2 and 15, DB bone loss at #2 makes it difficult for implant (Fig.4).  Use FC implant for primary stability.  Insert a small piece of cotton pellet or healing screw and pack sticky bone around the implant before placing a temporary abutment.  The latter will form a large gingival cuff, which makes it easy to place pair abutment without interference from the crestal bone.  In fact there is PARL of the palatal root of #14 (Fig.5).  A FC implant will be also placed at #15 for the same reason (Fig.6).

Return to Upper Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols, Table) No Deviation  Metronidazole
Xin Wei, DDS, PhD, MS 1st edition 01/21/2020, last revision 06/02/2020