Retained Primary Tooth Defect: UPDATE
I just replied to my own case but will re post for Photos. 16 year old female with retained primary tooth ankylosed to the floor of the palate. Surgical intervention is in previous post. 5 months post op reveals imporved tissue height nearly to normal on palatal papilla but clear buccal defect still present. 6 mm apical to the CEJ there is a floor to the soft tissue but still enough defect to harbor food. Root surfaces are still exposed on mesial of 3 and distal of 4 to the tune of about 4-6 mm apical of the CEJ. Appears there is adequate soft tissue to achieve primary closure with a CT graft should bone augmentation be warrented. At this point it feels like a zero wall defect as I am unsure about the amount of buccal or palatal wall there is and I know there is minimal or no bone on the surfaces of the teeth. Advice is welcomed.