When an implant has no name: recommendations?
A 35 year old female patient presented with a wobbly crown that was placed on this implant in #30 site only a week ago. The implant was placed about a year ago. The patient wanted to change offices because of logistics. The cemented crown was cut and removed and a BioHorizon healing abutment was placed. The patient understands that the angulation and implant position is compromised, but wants another crown that should work for as long as possible. If it shows features of an ailing/failing implant, she has accepted the need for replacement with a new implant. Tried talking to the original clinician who placed it, and he does not know the make of the implant. My questions:
1. Can anybody identify the implant system?
2. What is the prosthetic compatibility with other common implants systems?
3. Removal of an integrated implant is traumatic. Should I wait for it to become ailing/failing or should I recommend explanting it now?
17 Comments on When an implant has no name: recommendations?
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Gregori Kurtzman, DDS, MA
7/5/2017
I can see a space on mesial and distal that runs half the implant length this implant should be explanted now. Should be easy to counter rotate it to remove it with a wrench and placement head for this system. How does the dds who placed it not know what implant it is?
Alejandro Berg
7/5/2017
Hi, that implant is failing, the position is awful, the restoration clearly sucks, this means no planning stage or really bad execution. So all and all just take it out and be done with it.
Explanting is not traumatic at all if you know what you are doing. We use the neo biotech implant removal kit and it's a breeze.
It looks like a generic Israeli implant so it shouldn't be too difficult to remove. By the way if the doctor doesn't know the brand how did he approached the restoration phase? Generic?
B. Rhoney
7/5/2017
With regards to you having contacted the implant placer, I find it rather bizarre and somewhat suspicious that a professional does not know what implant system he was using only a year previously? That being said that is not now your problem or the patients.
Try looking at an implant identifier website, there are several online and this may help. If it doesn't and no one else can identify it then your only solution maybe to explant. The Megagen 911 kit is relatively atraumatic and then you can implant your own solution.
Implant guy
7/5/2017
I work for implant direct. We can most times identify implants. Send xray to us.
A Aslam OMS
7/5/2017
Where do we send it?
Craig Wright
7/5/2017
By replacing a new restoration on a failing implant, you are adding your name to her list of doctors who may have wronged her. The implant appears to be some kind of bone level implant that was not properly placed in the first place. The biomechanics of the restoration are totally out of whack and the implant did not become "wobbly" by itself in just one week-suggests that it should have never been restored in the first place! Protect your good name and explant and treatment plan anew.
Neil Zachs DMD, MS
7/5/2017
I agree with Dr. Kurtzman above. That implant is not integrated. It has definitely failed. It should be removed ASAP and grafted. The density pattern of the film suggests a very narrow ridge....so ridge augmentation will probable be necessary.
RANA ORAL
7/5/2017
Neobiotech implant removal kit is the best. Also download from Google Play Store : WIIT and find what implant is this in the radiograph...
Dr. Robert Cadalso DDS/MS
7/5/2017
SHEEEEEESH!!!!!!!!!!!!
First of all try:
www.whatimplantisthat.com
This is a free resource that will ask numerous questions regarding the implant to identify it MOST of the time you can figure it out. If need be for $50 (I think) you can send them the radiograph and they will attempt to identify it for you.
Personally, I would remove it and start over you will always be chasing a compromised situation if you try and keep it and it is likely to fail.
Nilo Faria, DDS
7/5/2017
I say, remove this implant, place another one and do another crown. Don't jeopardize your good name in order to save yours patients money.
Kent Caserta, DDS
7/5/2017
All above is great advice and worth listening as there seems something way out of the ordinary with this case. I think you might want to go more in
depth about this before treating her in anyway shape or form.
Sherman
7/5/2017
If the entire implant is loose , explanted ! No question there .
I do see mesial and distal spacing that runs half way down the implant length , that mimics, or it is the lamina dura of natural tooth . Very likely this was an immediate implant case post extraction . The implant was inserted in the distal root socket , intead of often more difficult placement of being in the center of 2 roots , to achieve primary stability .
Merlin Ohmer, DDS, MAGD
7/5/2017
Cut bait! That fishing hole is no good.
Remove and start over.
Alex
7/6/2017
Looks like Argon K3 Pro, German manufacturer...
Dr. Elijah Arrington III
7/6/2017
answers....Implants should be removed placed more mesialy, however, it is obviously integrated, you could flap it remove the threads sub crestally until they are smooth and remove the granulation tissue at the distal of the implant, and restore with temp crown... if you are trying to play super man and save her a bundle. Or you could go with long term success and just remove it, place another in the correct position and be done with it. You are the doctor. What would u want done 4 you? I am proud that you had the gumption to reach out to the other doctor and ask for the system type. Weird he didn't know, huh?...Anyway hope this helps.
Dr. Elijah Arrington III
7/6/2017
Correction... that should read remove the the threads supracrestaly ..(he he)
Dr. Elijah Arrington III
7/6/2017
Also please consider a three unit bridge for this patient...he/ she may not want to go back through implant placement..just a thought.
