Orthoptera,

Yes, I understand the implant was removed and a new graft was placed. Another implant is planned for the near future.

The surgical procedure referred to as Modified Ridge Splitting is when the surgeon mechanically splits the existing ridge into 2 sections. More or less creating a hole in that bone to encase the dental implant. Depending on the individual case, this can be a viable surgical option with successful results. I just wish to caution you about the pre diagnostic test that is imperative to have done before embarking on this surgery and that is called a 3D CT Scan as it gives a multi dimensional and very detailed view of the bone. This surgery should not be done with just periapical or panoramic radio graphs as they only offer a 2 dimensional view of the bone.

A collaplug is a collagen wound dressing, similar to a sponge consistency, that is meant to control bleeding and stabilize the blood clot during the initial healing phase. Primary closure with sutures is usually done to help keep it in place. If it fell out the next day then either it was not pushed in the socket far enough or the socket had not bled enough to saturate it and keep it in place.

Anytime a tooth is root canaled, there is concern that the bone surrounding the tooth will become infected. Because the bacteria can migrate into microscopic crevices of the bone, there is no definitive means (unless it is evident on radio graphs or CT scans or diagnosed via a bone biopsy) to determine if that migration has occurred or not. This is one reason why it is always a risk to replace an extracted root canaled tooth with a dental implant. Yes, this infection can spread to other teeth and areas of the mouth. The treatment for a bone infection depends on the severity of it.

So I assume based on your reply that you are under the care of a periodontist and not an oral surgeon, is that correct? If so, why did you choose a periodontist?

Regarding the implant in the site of #7... did the dentist perform a Ridge Splitting in that area? Or was the buccal bone intact when the tooth was removed?

A permanent bridge is an option for people who for whatever reasons are not candidates for dental implants. In your case, it would mean cutting down your front teeth which you said are healthy and unrestored. That's not ideal obviously. But if the #10 site does not receive the implant successfully you will be left with the options of a permanent bridge or removable appliance.

If you have any concerns about the healing of this latest surgery, please do not hesitate to have your dentist exam it.

Bryanna