soft tissue dehiscence

56 Rating(s).


Posted on By tural ismayilov In Failures

hi, everybody,
I want to discuss with u about this failures.
this patient present soft tissue dehiscence around the implant and stability of implant is ok.what kind of surgery have you preferred to me?
my option to remove the implant and put a new one in the right position.

best regards


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7 Comments

Need more information. Radiograph or CBCT to analyze implant position and bone in 3D. 2 choices, Remove and replace implant or apically repositioned flap from palate to move KT to buccal aspect. Dr. Salama


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Dear Maurice Salam

thank u for helpful.
I have only these pictures.


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Hello Dr. Tural,

It looks like the implant was placed well above the bone level from the CTscan. That makes a very hard challenge for the soft tissue to inoculate together biologically. In my opinion is to remove the implant and redo the placement with external/ internal sinus lift. If implant is osseointegrated then that becomes an issue as it is more invasive to try to remove it. May be put it under close monitoring knowing that we already started with a disadvantage that rough surface of implant is already exposed, leading to accumulation of bacteria.

Best,
Michel


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