Implant Failure Apical Lesion! Apicoectomy or Removal? 5 year Follow-up
Periapical Lesion around healed and Osseointegrated implant in the Esthetic Zone Lateral Incisor 18 months fater loading. Implant is stable and the restoration esthetically pleasing to patient. Interesting, the patient was post-ortho to create space for the laterals. I did the ortho. When we pulp tested the Central and Lateral following the discovery of this lesion they both tested Non-Vital. There was no contact of the implant with the adjacent teeth and this was verifed on the CBCT images. I have treated this case as shown with Apicoectomy of implant, thorough debridement, collagen membrane to close nasal floor communication, and PRGF ONLY for Bone regeneration. 2 Year post op PA shows COMPLETE bone fill and Healing. Thoughts on Treatment?
Thanks Dr. Salama