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Chad Denomme Replied at Mon, Oct 23, 2017 7:27 AM

So Bernard what would you advise.

I am thinking to remove the SCRC and place healing abutment.

Where do I go from there to evaluate if its fixture abutment or just fixture.

If it is fixture level should I lay a flap and IBRUSH.

Chad

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Bernard Jin Replied at Thu, Oct 19, 2017 3:17 PM

In dentition - a palatal 'sinus tract' usually indicates a root fracture (a small space that harbours bacteria). Unsure that would 'obviously' mean around an implant fixture.

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Bernard Jin Replied at Thu, Oct 19, 2017 3:16 PM

Hi Chad,

thanks for posting the case.  

I believe you mentioned that the parulis resolved once you switched the restoration abutment for the healing abutment.  How long did you leave the healing abutment on?  Was it resolved completely?

What did you do to verify that there was no more infection?

Reason for asking:  if infection resolves - then likely problem was interface between abutment + fixture.  if it doesn't resolve, then problem persists with fixture.

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Bernard Jin Replied at Thu, Oct 19, 2017 3:15 PM

Hi Chad,

thanks for posting the case.  

I believe you mentioned that the parulis resolved once you switched the restoration abutment for the healing abutment.  How long did you leave the healing abutment on?  Was it resolved completely?

What did you do to verify that there was no more infection?

Reason for asking:  if infection resolves - then likely problem was interface between abutment + fixture.  if it doesn't resolve, then problem persists with fixture.

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Bernard Jin Replied at Thu, Oct 19, 2017 3:07 PM