LR1M: Intrusion or Extraction?

Howdy all. This first set is all the same: One xray of our hygienist's
father's lower right first molar. I copied all four of the TinyPics so
you can choose whichever is most convenient:

<img src="http://tinypic.com/bgqz49.jpg"; alt="Image hosted by
TinyPic.com">

http://tinypic.com/bgqz49.jpg

[IMG]http://tinypic.com/bgqz49.jpg[/IMG]

http://tinypic.com/view/?pic=bgqz49


The way I see it, it's either exo and implant (after we control the
perio between those teeth) or we send him to the ortho to try and push
it back down. I don't know how long it's been like this (I've only seen
him once) and I don't know what is going on with the lucency in the
furcation either (whether it's active perio, a Fx'd tooth or whatnot). I
asked, but none of the dentists he's visited seemed to find that tooth
bothersome..... Somebody even put the filling on it recently.

I note that the tooth is restored with an MO Am with what seems to be Am
core inside it. I have a photo of the tooth as well:

http://tinypic.com/bfgd2x.jpg

His daughter told him to come to see me beause I am T.H.E. Great
Dentist. I had to tell him that I'm not sure how to proceed, but that we
definitely cannot leave the situation like that and risk undermining
support of the teeth on either side.

I was thinking fast intrusion and hope that the bone stays at the same
level. Once down in the normal position, of course, I can only see an
attachment between the three teeth to stabilize the situation. This
could be two MonoDont metal parts intra cononally, extra coronal wire or
Maryland bridge metal cemented on the buccal...

None of this would be necessary of we do an implant, since AFAIK,
implants are not active in the bone (they won't extrude). This is what
Alex V was saying before: they actually use them as anchors to pull
teeth around the mouth, since they don't move.

He has some dental insurance, so we can do at least some work (we'd send
off an estimate and see what they'll cover).

If anybody has any thoughts or comments, I'd appreciate hearing them.
I'd also appreciate knowing which of the first links are useful and
which aren't.

Thank Youse
SP
--
Take out the TRASH to reply
.

Relevant Pages

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