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Endodontics |
| The opinions within this web page are not ours. Authors have been credited for the individual posts where they are. Photos courtesy Terry Pannkuk - ROOTS |
6mm x 4.0 Astra implant
From: Terry Pannkuk To: ROOTS Sent: Thursday, June 18, 2009 5:19 AM Subject: [roots] A Shorty Implant Here's the second implant I placed today. Very interesting resorption case and good endo-implant algorithm issue. I saw the patient on consultation October 2007 she was having pain with the labial resorption of #20. We had originally hoped to monitor it as long as possilbe knowing the mental nerve proximity would be a significant risk consideratio for an implant treatment plan. I didn't really want to do the implant and thought it was too high risk. I extracted the tooth let it heal completely then tentatively placed a 3.5 x 8mm Astra but with mediocre primary stability last Fall. She was having some pain, I was concerned about nerve proximity and took it out promptly and grafted the buccal wall defect with BioOss. I wasn't sure I was going to attempt to place another implant later but the site healed nicely with better ridge width and I replaced it today. This time I used a 6mm. x 4.0 Astra for added safety. I was able to get it down with excellent torque and depth. The drilling sequence was a bit scarry, but I was very careful. I buried it with a cover screw and will uncover in 4 months. She has a similar resorbed bicuspid on the opposite side but needs three teeth replaced. It will be an implant supported bridge. It's not an extension of my endo services so I'll refer that side to my buddy the oral surgeon. - TerryTerry, thanks for sharing such a thought provoking case! :-) Do you think she was having pain (after the first implant placement) because of nerve impingement? Last cases you have posted on ROOTS you used Nobel... now Astra... have you switched (and why?) or do you have multiple systems in your office (and why?)? Do you have experience with 6mm implants? (i used to do 8mm-s a while ago and got big critique from collegues... now i wouldn't give a crap about that, but anyway...) - Dmitri
