Case Study of the Month

Here is a case study for you to evaluate. I welcome your responses. I will give my evaluation at the end of the month.

A dentist recently placed 6 size 15mm max MDI implants for a patient CUD retention with Standard IMTEC Housings (MH-1). The procedure went well, however, when the dentist saw the patient the following week the gum tissue was swollen and had covered a good portion of the implants. As well, there appeared to be a "circle of pus" around each implant head. However, when the dentist touched the area there was no exudate-it was the tissue itself that had become a pale whitish yellow. The patient claimed he had taken all his antibiotics but he was disappointed with the denture and said that he thought it would be tighter. All 6 implants were rock solid at his second visit.

Questions:
1. What is the diagnosis?
2. What actions should be taken?

13 comments:

Dentist Harrogate said...

Great to see a dentist with such an understanding of dental implants keep up the great blog posts...

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Jason Strong said...

I appreciate the post! I've been trying to learn more about dental implants before my mom gets some next month. This gave me some great insight! Thanks for sharing.

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Implant Dentist said...

You really make it seem so easy with your presentation but I find this topic to be really something which I think I would never understand. It seems too complicated and very broad for me. I am looking forward for your next post; I will try to get the hang of it!

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Edward Puriski said...


Please tell me that youre going to keep this up! Its so good and so important. I cant wait to read more from you. I just feel like you know so much and know how to make people listen to what you have to say. This blog is just too cool to be missed. Great stuff, really. Please, PLEASE keep it up!
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DentalCare Canada said...

Diagnosis can be defined as detection of the nature of an illness. The action depend on the structure and analysis of dental health. Our professional dentist offer dental implant in St Albert which is anchored in the bone below the gum line.

Lavanya D'cruz said...

Great piece and lovely to find a like minded Dental Implants blog. Keep up the great work.

Marcus Fillion said...

Is this a real case you've had? I wonder if the patient hadn't actually taken his antibiotics. It sounds like there's an infection in the gums, but the implants seem to be doing well regardless. I'd be interested to hear what you would do! | http://www.drandresmaeso.com

Lenny jung said...

I would check for impingement by the denture on the gingival tissue around the implants with PIP paste and relieve the acrylic. The condition of the tissue around the implants suggest pressure necrosis and inflammation.

Stourbridge Cosmetic Dentist said...

thanks for writing up such a good case study, it's always good to learn from people around the Internet about how they place dental implants. I think case studies really good way forwards. Thanks for posting, I'm going to write a similar article on my own website.

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