Ortho extrusion to increase bone in defect

143 Rating(s).


Posted on By bruce birchenough In Anterior/Esthetic

30 y.o. female presented with avulsed #24 asking for permanent replacement options. I believe #23 and 25 will need to be removed in some fashion and I am looking for options regarding implants and fixed bridgework. Would extrusion of 23,25 be of any benefit? Would PET of some fashion be applicable? Would submerging root #25 and PET #23/26 help retain hard and soft tissue for implant placement and longevity?


tooth #26


Add to Favorites
Add a comment to the discussion on Ortho extrusion to increase bone in defect


Upload photos
1.  Photo Title:

2.  Photo Title:

Would you like to follow this post?
Case has been added to your favorites.
Case has been removed from your favorites.
Thank you for your input. Your comment has been posted.
You are now following this member. You will get notified on any new topics posted by this member.
You are no longer following this member. You will not get notified on any new topics posted by this member.
Edit Comment
1.  Photo Title:
Current Image:   Delete Image
2.  Photo Title:
Current Image:   Delete Image
Comment has been updated.

5 Comments

Due to the significant labial plate loss (almost to basal bone), I'm not sure PET would offer any substantial benefit.
I see this case as probably either a) substantial vertical bone augmentation (orthodontic eruption first may help the augmentation but not substantially enough) then implants etc... or a more straight forward option b) two implant restored with prosthetic pink porcelain/resin. The direction for me would be guided by medical condition, smile line/lower lip, and patient preference once fully informed of the options.


Reply

Henry. I think the patient would be more inclined to go the conventional route. If that treatment plan is performed my main concerns were extractions of remaining incisors for placement of implants in positions 23/26 or 25 with a fixed bridge causing significant loss of hard and soft tissue therefore the thought of retaining some root structures?


Reply

Bruce; I agree with Henry, No Ortho or PET here will help as no labial bone on teeth and significant lack of KT on those teeth which is the greater challenge. For me, extractions and soft tissue augmentation first. Then new CBCT, and bone augmentation, then implant placement with artificial gingiva as needed. Good luck Mo


Reply

Maurice & Bruce, I also agree with henry over here PET is not required i think this a implant prosthesis case. The implants that provide support to the prosthesis as abutment sites. This is a restorative dental option for missing teeth


Reply

You must check with your dentist if you should for dental implants.


Reply


Dentalxp
Brasseler