PRF GRAFTING AND ORTHODONTIC EXTRUSION OF A UPPER LATERAL INCISOR

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Posted on By oscar maldonado In Anterior/Esthetic

FEMALE PATIENT, REFERED FOR AN IMPLANT FOR THE UPPER RIGHT LATERAL INCISOR. NOT ENOUGH BONE. PATIENT DID NOT WANT TO LOOSE THE TOOTH. WE GIVED IT A TRY TO GRAFTED WITH PRF MEMBRANES, AND ORTHODONTICS TO EXTRUDE THE TOOTH. AFTER TREATMENT NO MOBILITY IS OBSERVED, NEW BONE FORMATION AND PAPILLAE BETWEEN LATERAL AND CENTRAL INCISORS.
PRF HAS BEEN REPORTED TO REDUCE POCKET PROBING DEPTH, INCREASE CLINICAL ATTACHMENT LEVEL, ALSO STIMULATE NEW BONE FORMATION.

INTRAORAL VIEW
LATERAL INTRAORAL VIEW

PANORAMIC VIEW
CBCT


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INTRAORAL VIEWS AFTER GRAFTING AND 1 MM ORTHODONTIC EXTRUSION . OBSERVE THE BONE FORMATION, NO MOBILITY EVEN WITHOUT THE WIRE. BEFORE TREATMENT PRESENTED HIGH MOBILITY (GRADE 2).

AFTER PERIODONTAL TREATMENT AND PLAQUE COPNTROL, LATERAL WAS GRAFTED WITH PRF MEMBRANES INTO THE PERIODONTAL DEFECT(NO FLAP).(ABOUT 4 MONTHS)

ORTHODONTICS AFTER GRAFTING: 1MM (APROX.)EXTRUSION FOR THE RIGHT LATERAL INCISOR.
WIRE SEQUENCE WENT FROM 0.012 NITI TO 0.018 SS.

LATERAL VIEW WITH ORTHODONTICS
PERIAPICAL AFTER GRAFTING


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