Dentaltown December 2019 - 46
message board
One-Year-Old Implant Came
Out With the Tooth on It
After a Townie's implant treatment fails after one year, he asks for guidance on treatment
eeznogood
Member Since: 02/23/06
Post: 1 of 68
March 2018: Crown snapped off. Broken under the gum line.
2 weeks postoperative:
Yesterday (September 2019):
So, I discussed it with the patient. She is in good health, no known issues, no smoking, takes
Vitamin D supplements daily. She went to get tested after we spoke to see if she has become
diabetic, although she is not feeling anything and had blood tests about two months ago for a
routine check.
She is a grinder, but look at the amazing implant on the other lateral, over 10 years old. I
noticed yesterday a large PAL on the central and discussed with her the need for endo (discussed
two steps or more), which I started this a.m. per her request and confirmed that the tooth was
totally necrotic. Unfortunately, this tooth that was completely asymptomatic all this time flared
up right after the first RCT visit, so I saw her again this afternoon to reduce pressure on it and
she started ABs.
Could it be that a long-standing PAL adjacent to an implant site would cause the loss of that
implant?
I am stumped. Ideas? What can cause a solid implant to come out completely clean one year
after the placement? ■
9/25/2019
46
DECEMBER 2019 // dentaltown.com
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Dentaltown December 2019
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