Flap dehisence: What should be done?
I placed this 5×11.5mm implant in the lower second molar region. Patient is a chronic smoker. After a week, the patient presented with flap dehiscence. I re-sutured and again the same picture. Next time I completely raised the flap and passively approximated the edges and re-sutured. But the same picture after a week. Now I decided to let it be. Patient was asymptomatic until last time but now he complaints of intermittent pain in the implant site. Also when I raised flap to re-suture I noticed 3-4 exposed threads on buccal side. I flushed this area out. Now what should be done? There seems to be no infection. The problem is the exposed cover screw.
2 Comments on Flap dehisence: What should be done?
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DrT
3/21/2017
Put pt on Perigard bid for several weeks. Re-eval in 8-10 weeks and consider secondary procedure, being very careful to release buccal flap as atraumatically as possible to insure primary closure
Gary OMS
3/22/2017
Just polish the exposed threads and let it heal secondarily. Delay loading. Patient is also a bruxer, you ought to tell your lab tech how the crown should look like.
