anterior bone loss/perio plastic surgery
Gwen is a 66 year old that had the anterior restored approx 10 years ago. 7 and 10 are individual crowns and 8-9 are splinted. According to Gwen the porcelain at the gingival level was originally pink but fairly rapidly became white.(surface stained?) 7 will eventually need to have an implant placed. Concern is in the replacement of 8-9. Can this defect be successfully bone grafted? Can we then improve the periodontal esthetics with periodontal plastic surgery? Splinted crowns are most likely the answer for 8-9 long term. Are we better off planning a redo of the case using impregnated pink porcelain?