Re: Intrusion or Extraction?

1. extract
2. implant

I'd have a tight chest trying to successfully intrude the beat-up tooth.


"Stovepipe" <stove99pipe@xxxxxxxx> wrote in message
news:1h279g1.1k4rzgiilhabkN%stove99pipe@xxxxxxxxxxx
> 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


.

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