How to Restore Resorption Case?
Derek Gatta
Certified Prosthodontist specializing in advanced oral rehabilitation at Innovative Dental Aesthetics in Boca Raton, FL, and Co-Founder of RiseWell.
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.
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.
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?
Operations Manager @ OVERWATCH+PROJECT
8 年Great!
--Periodontist
8 年With titanium
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.