Diagnostic failure - Mistreated trauma associated with...
Diagnostic failure - Mistreated trauma associated with periapical chronic lesions and anatomic bone deformities - part 1
Länge: 18 Minuten
Sprache: Deutsch, Englisch
Quelle: Tabanella DVD-Compendium Vol 2a
A 57-year-old male patient presented with a discolored right maxillary central incisor due to a trauma he received about 20 years earlier. He reported that the tooth had been endodontically treated at the time. Since then, neither orthodontic nor prosthetic treatment had been performed. The patient's chief wish was to improve esthetics, although he had been told that not much could be done. The periapical radiograph, followed by a three-dimensional (3D) reconstruction, revealed the presence of an endodontic lesion, an atrophic basal bone, and an unusually large nasopalatine canal. Implant therapy was not an option; however, an advanced bone reconstruction was necessary prior to tooth extraction to avoid the complete collapse of the ridge in the esthetic area. A novel approach performing advanced tissue grafting to speed up the healing process is presented.