Case Details

Implants Aesthetic Dentistry

Indian Dental Network posted a case

about 1 year ago

Failing anterior tooth

Courtesy: Bruce Birchenough

#8 failing due to resorption. My concern is extensive loss of bone both vertically and facially if tooth is extracted. What are thoughts on removing coronal portion of the tooth to below the gingiva/ bone crest and covering the remaining root structure with soft tissue graft creating a submerged root pontic site. I then could cantilever with crown #7/pontic #8 two unit prosthesis?

A very significant dilemma if not handled the right way. The RISKS here are significant with bone loss in interproximal area causing a large papilla defect. A VISTA on Implant #7 and PET #8 with Socket Shield may be needed or Submerged Root Technique and overlying CTG.

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