Affects of mobile temporary on implant platform

6 Rating(s).


Posted on By Sattar Syed In Soft Tissue Enhancement

Pt is a female in her late 50s. ASA II, she has HTN and arthritis. Pt desired a full arch fixed prosthesis in the maxilla and has a mix of natural and implant supported dentition in the mandible. Pt accepted to have a serial extraction protocol and replace her failing maxillary teeth. #s 2, 6, 11 were left to support a temporary bridge and 4, 5, 7, 8, 12 were replaced with implants. 7 & and 8 had socket shield technique. Smile transition temp was placed on the abutments and pt left for a cruise. After one month pt returned with mobile temporary bridge and cement overhang-she had re cemented the temporary herself. Tissue has moved apically and the machined collar is exposed. Currently she is due for ext of 6 and 11 and socket grafting on both. I am using this window of opportunity to possibly enhance the soft tissue. She has a thick bio-type and a low smile line. There many option including burying the implant. Please kindly let me know your thoughts. This is silly but I cannot seem to flip my photos 180...forgive me

PA
Temp

smile
front pic


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4 Comments

Options;
1. Remove implant as you seem to have enough.
2. CAF with CTG and bury cover screw, come back after 3-4 months and re-expose
Good luck Dr. Salama


Reply

Thank you Maurice, I will take option 2. I will post my results.


Reply

You should consult some good dentists near you for suggestions.


Reply

Thank you. I found good dentists in dental xp.


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