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The patient returns 10 days postop with chief complaint of light UL, LL pain. There is plaque over the healing abutments; the gingiva slightly erythematous and tender. She feels better after plaque removal. Amoxicillin is prescribed 1 more week.
Six days later, "pain is less". Percussion of #13 healing abutment causes headache. There is no mobility at #13 or 14. The buccal gingiva is severely erythematous and edematous at #14. Chlorhexidine irrigation is conducted. After removal of the slightly subgingival healing abutment without pain, a 6x7 mm one is placed with severe pain. After local anesthesia, the implant seems to be mobile. The new abutment is advanced ~ 1 mm (Fig.5). Augmentin is prescribed. One week later there is no sign or symptom of infection. It appears that Augmentin should be prescribed after sinus surgery.
Xin Wei, DDS, PhD, MS 1st edition 09/12/2018, last revision 02/01/2019