Implant of the Day

Patient presented with humongous* crown on #30** and interradicular no-nos *** going on in the interradicular area.  Decision made to extract tooth due to poor prognosis for recovery and replace it with a shiny screw embedded in the mandibular bone, Div. II style.

*a technical term meaning 'big' or 'really big".

**Lower First Molar

***Between the roots, as in, bacteria love to proliferate 'interradicularly' as the environmental goodies of warmth , good, and poor circulation of bacterial killing white cells make for a cozy little neighborhood for their brand of gang warfare.

After careful measurement of the panoramic xray (not shown)  a decision was make to place a 

5 x 12 Ocobiomedical ERI implant.

Here it is in its handy sterile packaging

After removing the crown of  #19, I sectioned the mesial and distal roots.  Made the initial drill hole with the pilot drill and with the exixting roots in situ.Then I removed the two roots atraumatically, widened the initial drill hole (which basically corresponded to the distal root area of #19.

With the hole complete is was fairly simple to screw our implant down into the prepared hole.  The ERI is a tissue level implant, which means a nice, thin, collar extends above the bone thru the gingiva..

A little Collaplug in the mesial socket, a few sutures, and three to four months healing (integrating bone around the implant), and we'll be ready to restore.