Implant close to canine: remove or leave?

If you really have decided to do a cantilever bridge (which is certainly not an ideal plan and I don't recommend it), it's better to have the cantilevered pontic on the mesial rather than on the distal. Occlusal force is higher posteriorly.

leave it but place another implant #13 do the right thing , remember its not what the pt wants but what you can do..

I agree with rsdds. If it isn't right and you wouldn't want it in your own mouth then don't do it to a patient. Add a 2nd implant or explain that a single crown is the only good option. If the canine is vital and asymptomatic, leave the implant where it is.

Agree with comments. do another implant distal to this one. a cantilever off of the implant would not be good. the implant you put in will probably be fine

Place a second implant in the 1st molar area and then you can make a 3 unit bridge. The proximity to the canine is a factor but if there are no issues as far as tenderness to the canine, I would leave it alone . A distal cantilever to the implant is not a good idea due to the increased load as one goes distally.

Please get more training. There are risks to connecting implants to teeth. There are risks to having a cantilever especially with no posterior support. There needs to be an evaluation of the patients dentition, finances and goals but if you just ask these questions after having done surgery you are putting yourself at risk medico-legally as performing this is indefensible. Cantilevers are force magnifiers and lack of adequate numbers of implants are force magnifiers and your ability to defend yourself is important but protecting your patient is more important. I highly recommend you attend the Misch Institute, California Implant Institute or maxi-courses to learn about treatment planning edentulous areas prior to placing more implants.

Dear . It is not that close. I have few cases like that without any problem .Leave it and good luck. Dr. Tarek

Sorry for my english. But you need more training, you never can conect a canine whith and implant, you never used a cantilever only whith one implant... .you need more implants in upper maxillar. it is not a goog treatment.And of course to make and opinion we need to known more, for example a Rx panoramic .

Leave the implant. Proximity seen on the xray depicts worst case scenario and is likely not that close in reality. Also removing it may cause more damage unless done soon. Don't do the cantilever. You would be asking for failure. Splinting to a vital tooth is not the end of world if last resort but you have better options here. Pt already agreed to second unit of C&B. Given circumstances offer to place another implant at your cost ( $500.00?) When placing an implant, go no more than 8mm then check angles w/ TFG . Multiple pictures if necessary to be sure. Some clinicians have ability to see in their minds eye the angles. It can be developed over many cases of experience. Cbt scans and the use of surgical guides can certainly reduce the "guessing" if you will.

Looks fine, do better on your paralleling pins next time. You are at 12 cases; By 100 you will be warmed up. Remember we are humans and all the reason you should let that patient know there is no way in hell you will do cantilever. Looks like 13 had a nice bone graft at some time. Utilize it and place another, discount it if you must. It will pay dividends in the future. Good luck.

Guided would have helped avoid this situation. And although it doesn't guarantee results, it assures that you have at least taken some time to plan your case...especially if you use a planning software where you are doing or at least reviewing the planning file yourself. After having placed implants since the 1980's without 3D guidance, I was embarrassingly surprised how much more precise I could perform by employing the technology to it's full extent.

Leave

Hello Implant Treatment (Not Implant Dentistry) is a restorative (prosthodontics)driven Procedure. So Did you collect all information for final restoration? in general, Mouth is a complex or a system or a organization. in a system or Organization all components works together and all part should be consider together. so we should/MUST see all components. As a result where is your other radiography to see environments, Sometimes Multiple Radoigraphy is necessary to be sure. OPG, PA (to see Sinus at least, to see lower teeth) and where is your study cast to see occlusion with lower teeth and to see interocclusal space distance. Implant dentistry is not Just placement an Implant (Screw) in Bone). Train the Brian, Start form the end. look what could be the result then do it. By the way Every Dentist could do implant especiall if had some training and education.. Dose every dentist do endo, perio, Ortho, Orthonatic surgery? then Implant is like them so why every body touch it and not to care patient future health!! 1- Complete Data Collection, Medical, Dental, Social , ... Intraoral Examination, Implant site examination, and so on , so on... Radiographs (...., ...,...CBCT), Study Mounted Cast What type of bone exsit in implant site?, any consideration is/are needed? if your bone is D3 or D4 how you accept to do cantilever? with what length, Diameter what implant surface? ,.... 2- No Cantilever (may be At ALL for beginner) 3- If anatomy allow, one or two more implant are needed Distal to #12 to have good treatment. Depend to lower arch too. 4 - Don't forget Molars Rule (in free end area with good anatomy at least 1st Molar insertion is needed. ( S section of an arch) What we are looking for? Patient benefit and Treatment? or our's bene.... and headaches why we do something that could lead to malpractice. and so Sorry and good luck to you and all dentist

Leave the implant in and a definite NO to a distal cantilever off of the implant on #12. Just put another dental implant or two distally on #'s 13,14)

The implant is ok! Do not cantilever off this implant and or teeth. Place an implant in the first molar site and a subsequent three unit fixed partial denture from the first bicuspid implant to the first molar implant. I suggest that you read some good text about dental implants and take an AAID Maxi course etc. There seems to be some misunderstanding of the basics. We all start as beginners, so do yourself a favor and get trained up!

The implant does not have to be removed...you have not touched the canine. As suggested several times above, place a second implant in the molar area and make a three unit bridge........we all learn from our experience, and you have started your learning process...... even if the patient refuses to pay for this further treatment, it is worth your while to satisfy the patient and do it without a fee..... and reap the benefits of a "satisfied customer".

I have not seen this said here, but, depending on the angulation that you took this film, you can make the implant appear closer or further. The implant looks like it is placed fine. Do not let your patient push you into doing poorly engineered prosthetics. Do not cantilever of the implant. Good luck

I think you have your answer by now. My opinion - some others have also said the same- it is not thaaat close. If the canine is without problems, you may leave it the way it is. Cantelever on the distal with no posterior teeth remaining is a bad idea. Connecting to the existing canine is a bad idea also. You can place a locator over it and make a Removable Partial Denture to snap onto the locator. If the patient wants a fixed prosthesis, he or she would need more implants. At least one more to do a three unit bridge over the two implants.