Pt presented for full mouth extraction, immediate implants and conversion of denture. What appears to be Condensing Osteitis noted on postmandible. After full mouth extraction, and adequate alveloplasty, flap advanced apically to visualize mental foramina prior to placing distal implants at ~30* angle to 1-avoid mental, 2-avoid drilling into sclerotic bone, and 3-better ap spread and cantilever.
After surgery, office provided a technician come in and convert it.
Pt complained of ‘burning sensation’ however responded appropriately to stimulus. I reduced flange on lower right and pt reported ‘less pressure and burning’
Today patient reports pain on both sides. Pt to take a post op CT tomorrow and will see her in the afternoon.
My question is:
if they need to be removed, can i place ~3mm more anteriorly with same implants or are they infected in this probably nutrient void area of sclerotic bone.
Pt put on medrol dose pack already.
Thank you in advance for your help and kind critique