Implant positioning: your recommendation?
I am planning on placing implants in the upper left posterior quadrant where 25 and 27 are missing and with 26 and 28 grossly decayed. I am planning for extraction of 26 and 28. What would be the best sites for implant placement? Should I place an implant in 25 and 27 region and then extract 26 and go for a 3-unit bridge? Is that a sound plan of treatment? What do you recommend?
5 Comments on Implant positioning: your recommendation?
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Eunice Janzen
2/20/2018
In my experience, simple is always the best. It appears that this patient has both perio and decay issues, which do not typically happen to this degree in the well maintained mouth. The lower arch that we can see appears to be in trouble as well. Perhaps we can assume that the rest of the mouth is also in trouble? Why not consider a CUD immediate, clean up the perio , get disease under control and then reevaluate the entire case. I always ask myself... "am I replacing natural failing teeth with implants that are at high risk of failure because primary disease has not been dealt with? This is just my 35 years of experience talking.
Chris Smith
2/20/2018
I think what you are proposing is fine. An additional implant could be considered for placement at the 26 site as well. This would increase the load distribution area. Your prosthetics could be individual crowns or splinted.
dr abrams
2/20/2018
I agree with Dr Janzen. The pt. May be a candidate for all on 4. btw
Richard Hughes DDS, FAAID
2/20/2018
Do you have a Pano? I agree with Dr. Janzen. Get the infection under control.
Dr Kamil KS
2/21/2018
Planning for any implant case, need a thorough examination, DIAGNOSIS, Planning & preparation, & then execution to achieve the best dental care for the patient.
You really need to start dealing & controlling of (Primary Oral Disease) which are:
Dental caries, periodontal disease, bruxisim, overhang & condition of existing filling ......etc.
In addition to consideration to vital structures which in this case is the sinuses.
Any way good luck.
