Retained Primary Tooth Defect
16 year old female presented as referral from Orthodontist for removal of retained tooth letter A. Upon access, much puss and exudate was present as well as buccal bone dehiscence, and no alveolar tissue on either the mesial root of 3 or the distal root of 4. after removal of ankylosed A an oral antral communication was delt with by placing a collagen membrane over the communication. No bone graft was placed in the site as it was essentially a one wall defect. A collagen barrier membrane was placed in hopes for closure of the soft tissue. Now 6 weeks post op pt is still catching food and debris in what is a deep interpoximal defect. Debridement and waiting has been the treatment of choice but not sure when to go back in for soft or hard tissue augmentation. Any suggestions on how to best manage the case going forward would be greatly appreciated.