Implants in Elderly
Is there really enough bone???
 
Please Note that these photographs
have been digitally altered for clarification!
 
 
I recently saw this 79 year old female who had gone for dental implants in the anterior mandible about 6 months prior. Her story was that she presented to the oral surgeon for the procedure. He was to place three implants in the anterior mandible for the purpose of supporting an overdenture. He started the surgery and after he opened her up there was a significant wait. He then informed the patient and her daughter that there was not enough bone for the procedure and closed her up and sent her out the door. Both the patient and the daughter felt that the dentist was waiting for some equipment which did not arrive on time.

The radiograph on the left above is the pre-operative Panorex taken by the oral surgeon. It was a very poor radiograph and I really had to use all of my digital skills just to get the image above on the net. My post-op Panorex which was taken at the time of second stage surgery shows three 10mm IMTEC implants nicely integrated with room to go even a little longer if I had wanted to.

When I did the surgery, I found no reason what so ever to abort the surgery. There was plenty of bone in both height and width and the density was excellent. The patient is now having her prosthesis made and I do not anticipate any problems.

 

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