IMPLANTATION AND EXPLANTATION ON PATIENT'S INSISTENCE

We placed in the upper anterior implants carefully and everything healed uneventfully. 

However, when the patient returned, he insisted that we remove them, the reason being that,

"He just could not accept them as part of his mouth and body!"

This was a realization that he had only after he had the implants placed.

After numerous attempts to persuade him otherwise, we finally accepted the fact that the patient for some reason beyond us, cannot accept the dental implants as part of his mouth and body. By then, the implants were fully osseointegrated and ready for harvesting and prosthodontics. 

So near, yet so far!!!!

Rest assured, we tried our level utmost to convince the patient how simple the prosthodontics were and how much he already paid and what a boon a set of fixed teeth as compared to his dentures were.

With all the preliminary exercises in persuasion and explainations done conscientiously, we got the patient to sign a carefully worded consent form indemnifying us from all the consequences of his thoroughly informed consent. With that in safely in the drawer, we proceeded to grant the patient his wishes.

We exposed the implants and tried to unscrew them first. 

One came out just by unscrewing them at about 50 ncm, my guesstimate.

One had to be trephined almost the whole length before it could be removed.

One was trephined to about 2-3mm depth and then it was elevated gently out.

We stitched it up and the wound healed uneventfully.

The patient wore back his old set of dentures, happily relieved..... I think.

We never saw the patient again because we wrote into the informed consent a clause stating that the patient will not seek any further treatment from us again.

A CASE OF OBSESSIVE-COMPULSIVE BEHAVIOUR?


MY BLOGBOOK:
http://minimized-dentalimplants.blogspot.com/2010/05/minimized-dental-implants-coming.html