A 57-year-old male patient presented with a discolored right maxillary central incisor, due to a trauma experienced about 20 years prior. He reported that the tooth had been endodontically treated at that time. Since the endodontic treatment, neither orthodontic nor prosthetic treatment had been performed. The patient's chief desire was improved esthetics, though he had been told by previous clinicians that not much could be done. A periapical radiograph followed by a 3D reconstruction revealed the presence of an endodontic lesion, atrophic basal bone, and an unusually large nasopalatine canal. Implant therapy was not an option; advanced bone reconstruction was necessary prior to tooth extraction to avoid the complete collapse of the ridge in the esthetic area. A novel approach for advanced tissue grafting to speed up the healing process was also performed.
48 min; Format: NTSC/PAL
ISBN 978-1-78698-008-3 (C0977)
Decision Making for Retreatment of Failures in Dental Medicine, DVD Compendium (C0975)
Volume 1: Endo Failure - Tooth Loss and Perforation of the Buccal Plate (C0976)
Volume 3: Perio Failure - Recurrent and Excessive Scaling and Root Planing (C0978)
Volume 4: Iatrogenic Bone Grafting and Implant Placement - Ailing Dental Implants Associated with Oroantral Communication (C0979)