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Immediate implant placement case 2

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A 63-year-old male patient is scheduled for immediate implant placement in the area of tooth #21. Pre-operative radiograph image. Drilling was performed slightly towards the palate. An implant was placed to a depth of about 4mm, and a bone healing abutment was attached. To cover the gap on the adjacent side, a homogenous membrane was used. The area with a gap on the adjacent side was covered with a membrane, and a simple allograft was performed. Postoperative radiograph after using allograft membrane in cases with thin biotype.

A case of maxillary sinusitis due to peri-implantitis

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This is a case of maxillary sinusitis caused by periimplantitis in a 64-year-old female patient this year. The patient had undergone a sinus membrane elevation procedure for implant placement in the maxillary molar area about 20 years ago. Here is an intraoral photo from 2004. Here is a photo of the same patient undergoing a window approach in 2004. First, bone grafting was performed using Bio-Oss. Implants were placed approximately 6 months later, and this is a panoramic image from 2007 after the prosthetic restoration. It's 2009 It's 2012 It's 2014 It's 2017 It seems there were no significant issues at this time in 2020 as well. Here is the picture from 2022. Suddenly, not only around the implant in the 17th area but also in the 36th area, periimplantitis has developed, leading the patient to visit. The area around implant number 17 appears to have developed periimplantitis, with a deep pocket extending almost to the maxillary sinus floor.   Compared to the area aro...

Tooth extraction due to periodontal disease

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This year's patient is a 67-year-old woman. The maxillary left first molar was extracted due to periodontal disease. A photo taken approximately 3 months after the extraction. Despite the limited remaining bone, I have decided to proceed with a crestal approach for implant placement. Here is a photo immediately after the surgery. Here is a photo after approximately 3 months post-surgery. Here is a photo taken shortly after the restoration approximately 5 months post-surgery.  

Immediate implantation case

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Shall I share a brief case of immediate implant placement today? A 79-year-old male patient with chronic periodontitis in the #47 region, exhibiting significant mobility but not severe bone resorption, underwent extraction with immediate implant placement due to the mobility issue. This is the CT finding. I placed the implant with some concern while extracting the tooth. For immediate implant placement in the mandibular second molar area, it seems advantageous to place the implant slightly toward the distal aspect with some caution, considering the future restoration's emergency profile. The implant is completely submerged within the bone, and it was placed with an approximate depth of around 4mm to achieve a proper gingival height. Collagen plug was used to prevent the penetration of foreign substances without performing separate bone grafting.  Afterward, no sutures were applied, and Periopack was maintained. Bone healing abutment (size 604) was placed to avoid interference with ...