A failing root canal caused this. The root canal was leaking and not done so well to begin with. This is a lower second molar #18. The opposite side would be tooth #31. This is typically the last molar in the mouth on the bottom jaw.
- #18 molar pain when biting, crown loose, infection
- Poorly done root canal
- Vertical crack
- Second molar restricted mouth access and longer implant needed if immediate can be done (told him 50/50 chance of immediate) Other option is a socket bone graft and come back a few months later.
- Minimal bone to engage to immediate implant
- Infection at the apex of the failed root canal.
- Fearful patient!
- Antibiotics 2.5 days before the procedure to reduce infection
- IV sedation, extract molar, confirm angle of implant with drill, place 5.2 x 13mm implant into the socket
- Bone graft the voids
I will allow the implant to heal for 4 months, then I will make a custom abutment crown with ideal contours to prevent bone loss in the future.
Doing an immediate molar saved this patient at least $500 and did not lower the chance of success.
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry