A patient presented pain free with a fracture to the gum line ( upper left bicuspid tooth). He had minimal pain only when he pressed his finger on the gum line of the remnant root area. There was no infection noted around the area. The incident when the tooth fractured, was unremarkable “The tooth just snapped off”, as he plainly stated.
Options were discussed
1- Doing nothing, essentially leaving the root in place. “Not a good idea”, as I mentioned because the rotting root would act as potential source for a future infection.
2- Simple extraction of the remnant root. “A very good idea, but what about the space?” I asked. “You can’t walk around like a homeless guy. It’s near the front, for god sake.”
3- Simple extraction of remnant root combined with a bridge to span the gap. The question to ask one self when faced with this predicament, “Do you want to have two of your teeth ground down to stumps, in order to close the gap for the replacement of one tooth?” I explained. The consequences of possibly creating an unwanted root canal in the process, seems to be an absurd option for a single tooth replacement.
4- Simple extraction of remnant root and replacement with a removable device, a partial denture. “Terrible idea”, I said. “You are way too young to put your teeth in a cup at night!”
5-Simple extraction of remnant root, socket preservation combined with a staged implant approach…………….Excellent Idea…. we both agreed!
BINGO! And that’s what we did.
The patient was informed to return for suture removal in 2 weeks.
I plan to place a dental implant fixture in 2 months via a guided surgical approach.
STAY TUNED !!!!
You can Visit my You Tube site Robert Emilio DDS and Associates where you can find my entire official……Dental Implant Seminar for your review.
Dr. Emilio & Associates, Always Accepts New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.
His goal is to keep his patients’ Teeth and Gums Healthy For Life.
Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week
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