Small Implant to Prevent
Periimplantitis
A 60-year-old man develops periimplantitis at #3-5 (Fig.1). After failure of two rounds of bone graft, the implant at #4 is removed with bone graft 3.5 months earlier. The infection resolves. Before the implant removal, there is no gingiva between #4 and 5. It appears that these 3 implants are placed too close to each other and/or they are too large. To prevent recurrent infection, a 2.5 or 3.0 mm implant will be placed. Take preop PA. Incision will be made. If the bone is narrow buccopalatally, use 1 and 1.5 mm microosteotomes to initiate osteotomy. Also prepare Tatum 1- and 2-piece implants (3.5 mm).
Return to Upper Premolar Immediate Implant, Armaments 3 Xin Wei, DDS, PhD, MS 1st edition 08/09/2018, last revision 01/26/2021