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PRF GRAFTING AND ORTHODONTIC EXTRUSION OF A UPPER LATERAL INCISOR
Posted on 11.05.2022 04:22 PM
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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3 Comments
oscar maldonado says on 11.05.2022 04:29 PM
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.
Sergio Rubinstein says on 12.26.2022 01:51 PM
Nice site development. I would have done root canal treatment on the lateral incisor, continue with the eruption on the lateral incisor to over-correct bone deficiency, move the canine mesially to help reduce the defect and establish correct mesial-distal distance for the future lateral incisor.
Extraction of the lateral incisor and implant placement to replace the lateral incisor. Check for the canine position to still have canine rise and protect the future implant and crown in case the patient is clenching. Opposing canine may be slightly erupted and slight intrusion could help diminish undesirable forces on the final upper implant/ crown.
Premier Periodontics and Implant Dentistry says on 01.03.2023 08:07 AM
Great work! You guys share good dental forums. I like reading it!