Dentaltown June 2018 - 32
message board
How to Remove This Wicked Deep Implant
Townies offer a peer some great ideas, and a hefty bag of tricks to help with this misadventure
palmers31
Member Since: 07/30/08
Posts: 1, 6 and 7 of 71
Sigh. What a way to start off my day ... Plus we're getting a huge nor'easter later today. And
my wrist hurts. Sorry, I'm spiraling.
Anyway, I placed this immediate today and ran into a new situation for me. This guy had
zero density to his bone (I forget what this is called, but I think there's a name for it.) I didn't
catch it on the CT.
Prepped the osteotomy, placed the implant and "ploop"-it sank alllllllll the way down. I tried
to back it out, but to no avail. It has just enough retention that placing Teflon tape won't grip it. I'm
afraid of putting too much apical pressure for fear of sending it off into no-man's land.
Here it is. Flame away.
This is my last immediate. I'm done. I'm going to get him back in ASAP for removal, but
any advice on getting it out would be appreciated.
It's a Blue Sky Bio BioMax. Do you think when I remove the implant I could place another,
larger implant in its place? Or should I let everything heal and place this conventionally? I can't
imagine getting primary stability, but if I'm able to, what do you think? ■
3/13/2018
eeznogood
Member Since: 02/23/06
Post: 8 of 71
NO!!
Remove the implant and graft the site. Let it heal a few months, then go back in there.
Hopefully the graft will allow you to increase the bone density a little bit. Then when you come
back for the implant, undersize the osteotomy by one or even two sizes. ■
3/13/2018
alanrw
Member Since: 05/16/11
Post: 9 of 71
Do they make a long two-piece tool that will allow you to insert a hex, thread a pin into it
locking it to the implant, and then allowing you to spin the entire assembly out? Gotta watch
that nerve! ■
3/13/2018
tooth faery
Member Since: 09/18/06
Post: 10 of 71
palmers31
Member Since: 07/30/08
Post: 11 of 71
32
JUNE 2018 // dentaltown.com
How about screwing an impression post into the implant and trying to lift it out with that? ■
3/13/2018
That's a really good idea! ■
3/13/2018
http://www.dentaltown.com
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