If this was a mandibular sub it may have more of a shot. I do not share your optimism on this case. I completely hate removing these types of implant as well-the swath of destruction later is impressive.
Naw, I'll clean it out, but I'd be disappointed. I agree that removing failing subs is hell, but I'm not too worried about this one, and this is why: I am convinced that subs fail because either they are mobile or they are not truly "sub" periosteal, and eventually disgusting fibrous tissue creeps underneath. This thing is absolutely solid, and I have bone grafted over it prior to closure, so really it is endosteal by definition, and I can sound to bone around both struts.
Poland dentistwww.dentalteam.org.uk
The success of poor/mediocre dentistry depends on a positive host response. The success of excellent dentistry depends on a NORMAL host
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I've been trying to convince myself for years to start placing implants. Your case looks so easy to do. What kind of training did you get to be able to do a case like that.
It's the ones that come out perfect that make you feel like jumping in to implants...it's important to know what to do when something doesn't go as planned.
Nice case...I don't have a laser, but use a punch, probably 5mm in this case...nice and easy. I'll send the really hard ones off to a specialist.
Who ever said it is right...the patients can't believe they just got an implant...takes about 30 minutes and their done. Not bad post op either.
Any reason not to do a 5.7x10 in this location? That prob would have been my goto if initial stability is not of concern. Just wondering about your thought process. Nice case
young patient, you should have done ortho to expand and develop the premaxilla so that correct size implants could be used, when he is a bit older.
i hope the mini implants can be removed at any time very easily.
i routinely bracket provisionals or pt's extracted teeth and attach them to the archwire as a provisional solution, and as a means for me to know if I have enough space yet as I expand. You could probably still use an RPE and get a diastema between those implants.
Implant treatment is indicated limitely to young patient, for example, patient with partial or total oligodntia.
I don't think this therapy is perfect but no choice at this momnet.
Patient, his parent and orthodontist wanted implant prosthesis.
I am not sure whether I can remove these implants in the near future but I think I can remove out as my experience with mini implant for a long time. if osseointegrated, I will use trephine bur.
I am always amazed at the work you do.
however, in this case, I don't think the long term treatment plan was well thought out.
I think extraction and bone grafting was indicated, but placement of the implants were not.
Ortho should have been done first to correct the problems that Alex was talking about. this may have taken at least 2 years, and then the pt would have been at least 16 -17 years old.
Then, treatment planning for properly sized implants and restorations could have been accomplished.
Now the pt will have prostheses that cannot be moved to correct position, and will have to undergo multiple future surgeries (implant removal, bone grafting again and then implant replacement) and the implants and restorations will not be placed into the what could have been correct positions.
Sometimes, doing something because you can and that the pictures will be interesting, is not a reason to do it.
I am disappointed in this case and would recommend that no surgeon follow this treatment plan.