Context…

Hi.. My almost seven year old son is trying to distinguish between.. the color “red” and the past tense of reading.. i.e “read”. He told me that his teacher told him it was all a matter of context….

Had a person walked into your practice .. with a large defect around an anterior implant fixture…. you might be tempted to tell this patient that the case was failing and that the best course of treatment would be to extract, re graft and re-attempt to place the implant-or a 3-unit prosthesis. I might be so inclined as well.. unless I knew the backstory.

A 50 something year old female in excellent health was referred to me to try and save a failing fixture. As it was in the anterior segment and she had a high smile line- before taking it out if there were any other options.. we should try them. I never make promises but after examining the patient- I told her that she was a candidate for LAPIP ( LANAP for implants )… yes.. the list of acronyms grows by the day.

The case was treated and she was followed. Healing was uneventful and she called out of the blue some 4 months since our last follow up to tell me that yet another dentist ( not the original referrer.. who expertly placed the fixture ).. she couldn’t keep track of all of the people she was seeing…told her that she was “bamboozled- ( my word.. i don’t get to use it enough ) out of her money and that she should go see another surgeon to remove the fixture because she “might get an infection.” She also “might” get hit by a bus… but I digress.

I looked around and there was no suppuration as in the first visit.. no bleeding upon probing and no probing greater than 4 mm… As far as I was concerned, the case is healing beautifully… but I know that because I have a series of radiographs… you judge for yourself…

LANAP/LAPIP works really well to treat these osteomyelitic/peri-implantitis infections around implants.. it just takes time…

BTW- patient was happy until she was told to be unhappy… now she is happy again.. all’s well that ends well… when she saw the progression of healing in black and white.. it all made sense.. and to whom ever the dentist was that was too busy to call…

Be Good

Pre-op

Pre-op 8/2012: inverted to highlight the degree of bone loss that we started with..

1/2013     healing nicely   filling in on mesial and slightly less on distal.. no suppuration and no more bleeding. No recession noted.

1/2013: healing nicely filling in on mesial and slightly less on distal.. no suppuration and no more bleeding. No recession noted.

4/2013:  Taken today… fill past the polished collar on the medial… at least 3mm more on distal and area solidifying.. less than 1 yr.   this is a winner.. this was also the X-ray that the DDS advised the patient to have the implant out?!…. it all depends on context…

4/2013: Taken today… fill past the polished collar on the medial… at least 3mm more on distal and area solidifying.. less than 1 yr. this is a winner.. this was also the X-ray that the DDS advised the patient to have the implant out?!…. it all depends on context…