Implant showing

3 ways to fix, but first have patient hold a mirror at arms length and give “e” smile and count the sixties to see what really shows.  If does not show easiest option is to let unesthetic area be.

  1. Prep the implant, I’ve seen done for lower anteriors for overdenture where a lot is showing.  This can be used for more severe cases
  2. Make a buccal flange to cover.  For less severe cases.  If too much showing then have to use pink porcelain.
  3.  Rebury it with soft tissue graft, for minor cases in anterior.  If threads exposed then needs bone graft and membrane.

Exposed threads

 In apical portion implant
  1. Healing cap
  2. Expose area
  3. Clean with cotton and air power abrasive unit of Na2CO3
  4. Irrigate NaCl .9% Baxter Health
  5. Graft autogenous or allograft
  6. Collagen membrane or maybe Ti reinforced better here?
  7. Suture 2 weeks remove
  8. Leave 6-9 months
Bryan Bauer, DDS, FAGD
630-665-5550

Reference

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