Anterior bone and gum loss with tooth migration following posterior support loss

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Posted on By Alina Dima In Anterior/Esthetic

Female, 56 years old.
Bone regeneration was performed for tooth 22 about 2 years ago. Which treatment plan would be ideal in your opinion?is a good ideea to treat this pacient orthodonticaly to intrude and move mesialy this tooth?would you try another surgical regeneration?/before or after orthodontic treatment?What about the ideea to recontour the crown of 22/21 with composite and echilibrate the occlusion but without ortho treatment?
Thank you so much for your advice!

initial
1 year



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2 Comments

Classic Occlusal Localized Severe Periodontitis.
Need occlusal adjustments, localized periodontal debridement, orthodontic retraction and slow extrusion of the lateral incisor, then re-eval and lingual resin bonded splint to stabilize. Re-eval at 3 months. regards Dr. Salama


Reply

Alina, as Dr. S told, the only ortho possible is to EXTRUDE, to get more bone on coronal direction. Is not POSSIBLE to intrude and fix those teeth back in bone.
It would be a dream to intrude periodontal roots and get reattachment.
Regards and follow Dr. S recomendations.
Jorge


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Hu-Friedy
KLS Martin