72yM planned for #19 implant placement. Nerve was 2mm away based on CBCT, so planned for 4.8 x 8mm. Placed it at the bone level I wanted. However, used the Straumann tissue level profile drill instead of the BLT profile drill since we didn’t have it. What are the odds that I hosed myself? I grafted on top after the case with allograft.
It should be at least as likely to succeed as any fixture placed immediately into an extraction socket. I personally have never placed an immediate that didn’t have a void at the coronal which I may or may not have grafted.
I may have missed something, but I didn’t see that this was an immediate implant. That said, using the incorrect profile drill is likely inconsequential. Crestal bone is important but it has a remarkable repair potential under the right circumstances. I likely would not have opened a vial of allograft but instead would have harvested autogenous bone shavings from the ridge crest further distal had I felt it needed anything at all.
I don’t think it was an immediate I am just making a comparison because every immediate will have a void at the crest and they seem to work fine so this should too…..
Right. It is a good comparison. With an immediate implant the bone is rarely in contact with a lot of the implant surface all along its length including at the collar, and yet it predictably heals and bone attaches to the implant. This implant should be just fine.