Narrow Long Implant for Lower Canine
A 71-year-old man (dental phobic) requests extraction of residual root at #27 (no antibiotic) and immediate implant. Take PA for design as soon as the patient arrives. Also take follow up PAs for #6 and 18. The lower canine root is expected to be long. The implant should be the same (15, 16 or 18 mm for primary stability) and narrow (3.8 or 4.0 mm so that it can be placed as lingual as possible). An immediate provisional should be adapted to the existing removable partial denture (RPD). Make sure that there will be no contact between the provisional and RPD during seating and functioning, in addition to occlusal clearance. In fact the residual root may be an incisor, whereas the edentulous space is wide mesiodistally. A 3 mm 1-piece implant is placed for fabrication of a canine-like provisional.
Lower Canine Immediate Implant,
Xin Wei, DDS, PhD, MS 1st edition 03/18/2017, last revision 09/22/2018