Re: Are Implants my only Option?

From: Steven Fawks (tuthjockey_at_earthlink.net)
Date: 03/04/05 

Date: Fri, 04 Mar 2005 22:42:26 GMT

Indeed! However, this lateral was larger than most.

I didn't like the idea of also prepping the cuspid. I didn't like the
idea of extracting the lateral and making a four unit bridge.
The patient wasn't too wild about having a bone graft before an
implant.

If it looks this good after 15 years, I think it's likely to
go another 10 or so.

<G>
Fawks

> Steven Fawks wrote:
>
>>
>> New patient exam 15 years ago where a guy had a mesio-lingual bony
>> defect on his upper right central. He had been treated surgically by
>> a periodontist 3 times without improvement (deep class II bite and
>> clenching might have been a factor <G>).
>>
>> One extraction and a bridge between the lateral and the other central,
>> and all is well to this day.
>>
>> Fawks
>
>
> See--and the textbooks don't like using laterals as terminal abutments.
> Good to know not all laterals read the textbooks!
>
> Steve
>
>>
>>
>>
>>
>>>
>>>
>>> Saw a patient yesterday morning. She had lost her upper left
>>> central incisor. A periodontist had placed an implant 3 times in the
>>> site, and the fixture failed to integrate 3 times. He was trying to
>>> convince her to try again.
>>>
>>> Steve
>>>
>>>>
>>>
>>
>
>