Implant installation: Correct?

None of them are really ideal. #3 is a Bicon placed into the sinus with a graft, apparently, but it is awfully small, even for Bicon, and lacks their sinus abutment which prevents it from migrating north. #4 may be angled into the adjacent tooth. #13 poor angulation and also into the adjacent tooth potentially. #14 might have been fine at one time, but appears to be failing. All unfortunate.

Simply put, the short ones do not appear to be long term viable implants. It appears (best guess without CBCT) there is a radiolucency on the upper left short implant (extreme lever arm present) which may be the 'shape of things to come' for the short one on the upper right. The apical region of the standard size implant 'appears' healthy on the UR. So to answer your questions just the standard size on the UR

This is really sloppy dental implantology...... we have come along way, and whoever posted these images needs to go back and get properly retrained.

I don’t have much confidence in any of them. If this is my patient, I would recommend removal of all of them. I would then recommend extraction of #2,5,12 and 14, with implant placement #2,5,12 and 14 and restoring this with a 4 unit screw retained FPD #2-5 and a 3 unit screw retained FPD #12-14. Just curious though - why are you asking?

Anyone else think this belongs in the hands of the local dental board?

The patient has generalized, severe bone loss making restoration very challenging. Not sure that any of these implants allow for proper restoration. Just my humble opinion.

I really don't know what to say about this....at all. Poor patient selection, poor implant selection (Bicons) and poor implant placement.

I think non of them really have been installed correctly because there is not enough vertical bone and surgeon has been forced to put implants in bad locations

I agree with most of the above comments and I must ask what the purpose is of putting these pictures up? This is because if you honestly can't tell that none of these fixtures is ideal or in your words "installed correctly" then I truly believe you not only lack knowledge of the basics of implantology but also (more worryingly) you appear ignorant of some of the basics of modern dentistry- there are multiple issues on these images: caries, advanced destructive periodontal disease, poorly condensed restorations, poorly contoured restorations, periapical radiolucencies to name but a few, and that's before we come to the travesty that is these implant fixtures! This is a forum for dental professionals with a serious and dedicated interest in implant dentistry but on a wider front, we're absolute in helping each other to optimise outcomes for patients. As a profession and sub-speciality we have come a very long way from the seemingly 'slap dash' practice that these photos represent and so I must ask: 1) Are you a dentist? 2) What is the purpose of putting these pictures up?

Yesterday I received a telephone call from the patient who posted this post...he is not a dentist, and the dental work was done in Algeria. He is coming to see me to find out what can be done about this situation. Although this forum is meant for professionals, I do not think it is a bad idea where patients can post their concerns and that they can ask for solutions to their problems.....perhaps a subdivision of OsseoNews can be set up for patients.

Hi Dr. Rudick, Thanks very much for the update. We do have a specific form submission for patients, so that we can keep the questions separated, and are working on improving this aspect of the site to prevent these types of inadvertent inclusions in the future. We apologize for any confusion. Still, we are happy this patient was able to utilize the website to get in touch with a highly-qualified professional. We are closing this case for new comments, given the information provided. Thanks again for your feedback.