Failing mandibular anterior

126 Rating(s).

Posted on 05.28.2019 11:17 AM 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

aryeh gellman says on 06.15.2019 05:17 PM

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

Ben Lashley says on 06.25.2019 03:37 PM

Thank you! I agree.

Maurice Salama says on 06.18.2019 01:29 PM

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

Ben Lashley says on 06.25.2019 03:38 PM

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