Immediate Molar Implant Near An Abscess, bad idea?
This strong young healthy male patient has presented to my office for an immediate implant placement at the lower left first molar site, to replace his failing root canal tooth.
The attached images show an extensive abscess associated with the distal root. No signs or symptoms clinically.
Digital planning reveals the implant can be 12mm long with a 4.8 diameter and land nicely 4mm above the inferior alveolar canal.
What are your thoughts about immediate placement? Good idea? Remove tooth , bone graft and then delay the implant placement? How do you debride such a large abscess near the IAN canal?
Any tips, ideas, and thoughts would be greatly appreciated. Thank you.
EJW DDS, PhD