[Diagnostic / Planning]  Long-term edentulous site

Failed bridge in Q4 and patient wants implants.

47 will be extracted, grafted and allowed to heal.  CBCT revealed 2 cystic-like lesions in the 46 region.  The cross sections look somewhat innocent to me but the HU are all in the minus for these areas.

Should I be going after these lesions at the time of 47 extraction and grafting them as well?

Appreciate your comments


by Anand Choubal at Mon, Aug 20, 2018 9:53 AM

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Anand Choubal Replied at Tue, Aug 21, 2018 1:03 PM

Thank you Ho-Young, I will send to the radiologist and see what they say.

This patient has extremely high occlusal forces so I think 3 implants will be the way to go.

Very much appreciate your insight 


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Ho-Young Chung Replied at Mon, Aug 20, 2018 1:33 PM

Hi Anand,

Thanks for posting this case.  My suggestion is send for radiographic report.  It will give you peace of mind and cover your butt as well if there is a complication.  It's a small fee to pay.  You can send digital file to either a radiography office in Alberta or even in Ontario like Canaray.  

Also, you will need to do GBR for definitely 46 area and possibly 47 as well as you have a deficient ridge on the buccal aspect.  I would also recommend that you consider doing a 3 unit implant bridge as an option as the edentulous space will be quite wide.  I would have a wax up done either digitally or manually.  

Ho-Young Chung