Gingival recession of adjacent teeth: Effect on Implant?
I treatment planned a 32 year old female patient for extraction of her maxillary second premolar and immediate placement of an implant in the extraction site. The maxillary second premolar is misaligned and this is what the patient wants in the way of treatment. The adjacent teeth are malposed with gingival recession. The adjacent teeth are not mobile. Her oral hygiene is excellent. How will the gingival condition of the adjacent teeth effect the prognosis of the case? What do you advise?
5 Comments on Gingival recession of adjacent teeth: Effect on Implant?
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Dr. JD
3/6/2017
You ask for advice. My advice is to slow down. This case is complicated in so many ways. Gather radiographs, photographs, periodontal probings all together and look at this case. An immediate implant is probably not a reasonable solution. Perhaps an implant period is not the solution. Run this past someone you trust who has experience in treating challenging situations.
DrT
3/7/2017
If perio is not stable you will have issues with an adjacent implant...I agree with the above poster...slow down and do a comprehensive treatment plan
dr Sunil Kumar
3/8/2017
Can we think of multi speciality team work like orthodontically if we can align the premolar it could be the best option
Juan Kunstmann
3/8/2017
It looks like the first molar moved mesially, so is probably invading the space of the second premolar crown...did you measure the space to install a tooth after the implant placement?
Regards
Oliver Scheiter
5/1/2017
Drs. JD and T have a point here.
Had you done any backward planning you'd have realised the complexity of the case. You'd probably have to remove the first molar as well and then graft hard and soft tissue. Refer the case. You seem to be in way over your head. I think that's why you posted this. Well done.
