I took a CBCT after 4 months of placing this implant. The patient has no pain, no symptoms. When I looked at the gum tissue, everything was healing fine. When I palpated the lingual and buccal area, there was no pain. In this case, can I still move forward with placing implant crown?
This is fine and you should just proceed with the final restoration. While this is not ideal placement/angulation I will not shame you by spouting off bullet points from clinical studies in an effort to make myself feel better. Pay attention to B/L angulation in the future and consider this one of the many humbling learning events along your journey in this unregulated field of screwed-up dentistry… Just my opinion after over two decades of learning from my own mistakes.
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Thank you for your kind reply. That does make me feel a lot better. I will do better next time. Hopefully this implant lasts a long time for him!
Great reply to question but one I would like to add is how can we pay attention to buccolingul width while placing implant plz share some tips! In placing implant in posterior area of the mandible try to points to drill tip towards buccal direction in order to avoid such condition
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The best suggestion I can provide is to remember the normal anatomy/position of mandibular molars which in inclined approximately 20 degrees to the lingual. Just remembering this as opposed to trying to place them perfectly upright will help a lot.