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Osteogen plug is placed in #17 socket after extraction and SRP at #18. The bone height at #18 distal seems to increase 2 years 4 months post extraction (Fig.9-12). The 1st molars have enamel hypoplasia with occlusal wear. In addition, occlusion is abnormal. There is no centric occlusion, partially contributing to periodontitis at #15 and 18. Crown is planned at #19 because of loss of occlusal amalgam (Fig.11 A, 12). Orthodontics may be required, although 2 insurances do not have orthodontic coverage for adults.
Xin Wei, DDS, PhD, MS 1st edition 12/01/2019, last revision 12/01/2019