Should I do an immediate implant in this case

[site_admin]

Female patient

Age: 40 years

No relevant medical history.

Periodontal condition is normal.

RCT was done on 3-7 around 18 to 20 years ago. The crown come out a few months back. Pt. reported last week.

There is not sufficient tooth structure to fix posts and cores and I have decided to

extract 3-7.

2-7 has drifted down (perhaps more than what is seen on the OPG).

2-7 will require enameloplasty perhaps an endo + crown.

There is periapical infection visible around the roots of 3-7

Should I attempt an immediate implant in this case?

As would be obvious this is not a good case to do an immediate implant but I would like to elicit the opinions of implant gurus on the forum.

Hope to see a lot of responses and many thanks in advance for the same.

Kindly open the file attachments.

Regards

Dr. Veerendra Darakh.

        

For one to one consultations on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

[Sugandha.ghonasgi@gmail.com]

Hi,
You are correct in deciding not to do an immediate implant placement. The periapical infection should preclude this.
Good Luck with the case..
Regards ,
Dr Sugandha

        

[site_admin]

Thank you Dr. Sugandha for the response.

In these days of high internet penetration quite a few patients demand immediate implants. Many a times they are misinformed after they have read some information on the net.

Patients have to explained and educated.

Thanks once again,

Veeren

 

        

For one to one consultations on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

[Anonymous]

I have made it a practice to never do immediate implants anymore. Unless the patient insists. That is my personal preference. The bone level is too unpredictable.

        

[Author]

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