Advanced Root Resorption of Maxillary Central Incisors

168 Rating(s).


Posted on By Maurice Salama In Implants

Management of Advanced Root Resorption of Maxillary Central Incisors. Patient desires esthetic result and wants ideal treatment. Left Central is mobile and has apical pathology. Right Central Incisor displays significant resorption but remains stable and without any perio or endo lesion. Choice made in 2013 to maintain Right Central Incisor and replace Left Central Incisor in a Staged approach. 5 year post op radiograph displayed. Thoughts and comments welcome. Dr. Salama

Simple Extraction of Right Central Incisor
PA pre-op

Ice Cream Cone Collagen membrane ala Dr. Tarnow
Sutures over bone graft


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7 Comments

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Post op

2 years
4 years


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Pa 5 years...still Right Central present and without mobility....

PA preop
PA 5 years


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Interesting case! Do you think extracting #8 earlier would benefit to more bone preservation? Gregory


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Gregory; When tooth resorbs it is the replacement is bone, so I do not believe we have less bone in #8 area. Most interestingly, to me, is that #8 after 5 years and severe resorption is still STABLE and supporting the restoration!! In addition, apparently the trauma caused a subcrestal fracture and the apical portion of the root was left behind and is still present without any pathology. regards and hope to see you at NYU in August. Maurice


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Is there shadow of lateral incisor below or supernumerary tooth..?
Gradual bone resorption by time around implant will affect stability of tooth #8


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I disagree about "gradual bone resorption around implant will effect adjacent tooth"? This is 5 year post op and no apparent bone resorption around implant at all and complete health of overlying tissues. As for tooth over resorbed central, it is the apical portion of same tooth fractured at early age and still present without any pathology. Dr. S


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KLS Martin
Brasseler