Failing mandibular anterior

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Posted on By Ben Lashley In Implants

This 60yo female has history of Trauma to anterior. Recently the central has split and is failing. CBCT shows large bone defect. There is now exudate and suppuration from the anterior and little or no attached gingiva. How would folks handle this case? I am considering fixed bridge work as the delicate nature of the area will be a challenging augmentation with multiple soft and hard tissue procedures. Seems like it would be removal, CT graft, then bone aug at a later date. Interested in hearing some thoughts.


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4 Comments

Extract broken tooth, if nearby teeth arent too mobile consider conventional bridge... Bone loss, mesiodistal space and knife edge ridge make an implant here very challenging. Imho. Good luck


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Thank you! I agree.


Reply

Extraction and follow up. CTG for sure at time of extraction or after healing from extraction. Final tooth replacement either Resin Bonded Bridge or Bone graft and implant....Dr. Salama


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Thank you for your input on this case. I will CT graft and bonded bridge. Thanks again.


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