How to Restore Resorption Case?

How to Restore Resorption Case?

                  I have a healthy, 35 year old patient who received trauma to #8,9 as a teenager and now is showing radiographic signs of resorption.  Would love to hear how others would restore this case assuming #8,9 are non-restorable/extracted at some point.

 Radiographs

Angelina Browning

Owner and Dentist at Tuscarora Dental

8 年

Difficult to see the additional radiographs, but given adequate space, I would plan for atraumatic extraction and placement of a single implant in area #8 or #9 and ridge preservation grafting with the intention to cantilever into the other space to preserve the esthetics of the soft tissue. As Dr. Schmidt said, Essex or TRPD may be necessary in the interim.

Adam E. Schmidt, DDS, FACS

Board Certified Oral and Maxillofacial Surgeon

8 年

Get CBCT, plan on Nobel Biocare, Guided Surgery. Depending on torque values and occlusion, plan for immediate provisionalization, but be ready for Essex. Am I close?

Fernando Gomez

Operations Manager @ OVERWATCH+PROJECT

8 年

Great!

回复
Barry Levin

--Periodontist

8 年

With titanium

Jim Bates, DDS, MD, FACS

Founder and President at Texas Oral and Maxillofacial Surgery

8 年

Can't really tell how much alveolar bone is available, but I would atraumatically extract the two teeth and attempt immediate bone level implant placement without immediate provisionalization to preserve the interdental papillae, and restore the implants 6 weeks later.

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