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Implants
What do you recommend?
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<blockquote data-quote="sidesh0wb0b" data-source="post: 70674" data-attributes="member: 7594"><p>a few things come to mind here..... being that the bone grafts arent taking as they should the Dr has a few options. first, back out the fixture, pack more bone, let it heal for 6months or more and try again. (potentially needing sinus lift as well). hopefully the placement is a bit further lingual but thats going to depend upon other matters entirely.</p><p></p><p>if that doesnt work...... option two is a bit more tricky and may or may not succeed as well as option one..... if the Dr is willing, he may want to place the smallest height healing cap he can get, do a tissue graft OVER the entire site and let it heal for a few weeks at least.....in the mean time you fabricate a zirconia abutment and add the proper shade to the marginal areas ON the abutment. fabricate your crown as well, and lap down over the facial some (its going to be bulky). at the time of seating the Dr should cut open the healed tissue from the LINGUAL and flop it over facially, then seat the abutment and the crown and suture the tissue back interproximally to form some papillas and hopefully the tissue wont recede nearly as much as what you have now.</p><p></p><p>if neither can be done, good luck. best you can do is make a Ti custom abutment, have the Dr torque it in, and then prep down onto the fixture and reimpress. this will allow you to capture down where its exposed and fabricate the crown.</p><p></p><p>hope this helps some</p></blockquote><p></p>
[QUOTE="sidesh0wb0b, post: 70674, member: 7594"] a few things come to mind here..... being that the bone grafts arent taking as they should the Dr has a few options. first, back out the fixture, pack more bone, let it heal for 6months or more and try again. (potentially needing sinus lift as well). hopefully the placement is a bit further lingual but thats going to depend upon other matters entirely. if that doesnt work...... option two is a bit more tricky and may or may not succeed as well as option one..... if the Dr is willing, he may want to place the smallest height healing cap he can get, do a tissue graft OVER the entire site and let it heal for a few weeks at least.....in the mean time you fabricate a zirconia abutment and add the proper shade to the marginal areas ON the abutment. fabricate your crown as well, and lap down over the facial some (its going to be bulky). at the time of seating the Dr should cut open the healed tissue from the LINGUAL and flop it over facially, then seat the abutment and the crown and suture the tissue back interproximally to form some papillas and hopefully the tissue wont recede nearly as much as what you have now. if neither can be done, good luck. best you can do is make a Ti custom abutment, have the Dr torque it in, and then prep down onto the fixture and reimpress. this will allow you to capture down where its exposed and fabricate the crown. hope this helps some [/QUOTE]
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