Hello guys. My first post here. I have a case of two anterior implants I just placed. 26 went through the inferior border of the mandible. My implant is placed 3mm short of that. Should I be concerned? I am concerned. Any advice?
Just want to say the perforation was with the initial drill
Soft tissue will grow into the gap and cause complication, unless you fill the gap with bone graft 
i think the implant will survive about 2-3 years 
BOne graftđ seriously!
my suggestion is along the same line as the others ( remove and graft) unless you are going to practice geographical success all your life
youâll have to suck this one up unfortunately
What is a geographical success? And based on the science wouldnât this fill up w bone on its own without any graft? four walls of bone and fifth is the implant.
1 Like
It will certainly fill in on its own and there is no need to graft. While I canât guarantee this will be successful I would never condemn it to certain failure because of a small 2mm hole piercing the inferior border. My guess is that it will be just fine and anyone who advocates for grafting this I would be interested in knowing how they plan to do it and what the expected outcome would be. Leave it and let it integrateâŚ
I would inform the patient, monitor. Trying to retrieve it will make the inevitable fracture.
IMHO