Advantage of Simultaneous Immediate and Delayed Implants
Two and half months after #30,31 implant placement, the 50-year-old male patient returns for #14 (immediate), 15 implant placement. The tooth #14 is loose. The socket will be treated with 2% Xylocaine; 1:50,000 Epinephrine as a control of antibiotic study. His bone density is high in the mandible and expected to be so for the maxilla, especially at #15 (Fig.1). Bone width is no problem from clinical observation. The biggest challenge is bone height. The septum at #14 should be low. Anyway, the SM implants do not have to be wide as long as primary stability is obtained. Bone harvested from the sites of #14 and 15 will be placed at the former site. This is an advantage of simultaneous immediate and delayed implants. The mesiodistal width of the site of #15 is narrow (Fig.1), probably due to mesial shift and tilt of the tooth #16 (arrow). Therefore the diameters of the implants at #14 and 15 should not be large (Fig.2).
Return to Upper Molar Immediate Implant
Xin Wei, DDS, PhD, MS 1st edition 10/11/2015, last revision 10/31/2015