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Ortho extrusion to increase bone in defect
Posted on 01.12.2022 08:24 AM 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?
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henry salama says on 01.13.2022 11:21 AM
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.
bruce birchenough says on 01.13.2022 12:03 PM
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?
Maurice Salama says on 01.17.2022 09:55 AM
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
Premier Periodontics and Implant Dentistry says on 02.09.2022 06:48 AM
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
Lynnwood Dental Studio says on 10.12.2022 01:16 AM
You must check with your dentist if you should for dental implants.
Millie Mclednn says on 12.12.2022 02:06 AM
There are a few risks of using ortho extrusion. One of them is the risk of tooth decay. Orthodontic appliances are made of metal and plastic, which can cause tooth decay. Orthodontic appliances can also cause gum recession and lead to periodontal disease. Another risk is the risk of jaw joint problems. Orthodontic appliances can cause temporomandibular joint dysfunction or arthritis, a chronic condition affecting the joints in the mouth and neck region. With the help of an experienced cosmetic dentist, you can resolve this problem.