Implant placement in a patient with osteoporosis

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A 59-year-old female patient with a history of osteoporosis medication for about 3 years and a drug holiday of approximately 6 months for implant placement. Based on the CT findings, the bone quality of the lower left posterior area appears to be similar to D4 and the bone width also appears narrow.






During the surgery, a radiograph was taken showing that the initial stabilization of the implant in the area of tooth #36 was not successful, causing it to continuously shift downward into the bone. This has made the removal of the implant quite challenging, and there is a risk that it could further embed itself deeper into the bone if not managed carefully.

With no other option, the cortical bone on the buccal side was cautiously removed using a round bar, and the implant was delicately extracted using forceps.





 Subsequently, allograft was transplanted into the bone, and the implant was re-implanted cautiously. Guided bone regeneration (GBR) was also performed on the buccal side.


Such symptoms can also occur in the maxillary posterior region, and although rare, they can also be observed in the mandibular posterior region.







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