Bone Graft or Implant Post Extrusion I

A 62-year-old man had traumatic root fracture at #6 in his teen.  The tooth remained asymp-tomatic until his fifties.  Following root canal therapy (Fig.1), the tooth is ortho-dontically extruded (~ 5 years, Fig.2 (*: bracket)) with apparent disap-pearance of the infection.  The bone distal to #7 seems to increase in height (Fig.3, as compared to Fig.1) and in density (Fig.4).  Bone graft could be placed for regene-ration with PRF or GEM21S (Fig.5 red (between #6 and 7), pink (buccal to #7 or coronal to the fracture line) circles).  With extrusion, the oblique fracture line is more than half or two third supra-gingival (Fig.6).  In spite of severe bone loss, exostosis is present (Fig.7 (mesiobuccal view) E) so that bone graft could be placed palatal to it (Fig.8 red).  In case the tooth is non-salvageable, immediate implant will be placed with guide (Fig.9,10).  Move lingual button as apical as possible (Fig.12) and make occlusal clearance.

Return to No Deviation Clindamycin Metronidazole No Antibiotic Ortho Cases Plug Professionals Shield Waterlase 19
Xin Wei, DDS, PhD, MS 1st edition 03/30/2020, last revision 07/27/2020