The problem with dehiscences in the esthetic zone
Young female presents in the office complaining about discomfort in the facial vestibule of #8. Clinical exam reveals normal PDs , lack of BOP and erythema and edema. An implant is placed on area of #8 in a reasonable prosthetic position. #7 was endodontically cleared.
What would be your approach? Would you start over? is the periosteum rubbing on the dehisced implant responsible for patient's symptoms?
I decided to revert to a modified sausage and avoid removing since there was lack of infections signs and pt already had restoration. Pt has been symptom free for the past 3 months.