By: Victor M. Sternberg, D.M.D. 

May 3, 2023 

The patient presented with a severely extruded central incisor.  

The x-ray reveals a very severe distal defect. 

Not only had the tooth extruded but it had lost a great deal of distal bone. 

The choices included: 

1) Extracting the tooth and grafting the site and placing an implant. 

2) Treat the tooth periodontally and see whether you can get a conventional restoration. The patient elected to try and keep the tooth. A temporary was placed. 

As you can see the defect was rather deep, running up a great deal of the distal surface of the tooth.  The decision was to graft the area with a Allograft and membrane.

Fortunately, by shortening the tooth, the provisional temporary first and then letting it heal, we were  able to obtain the results and the final restoration. It is reasonably aesthetically pleasing and  periodontally stable. 

The cosmetics can be improved somewhat by perhaps restoring the lateral incisor, but at this point the  patient is thrilled compared to the way it began. 

As always I appreciate your feedback. 

Yours truly, 

Victor M. Sternberg, D.M.D. 

/mp 

Dental Office of: 

Victor M. Sternberg, D.M.D., PC 

By Westchester Center for Periodontal & Implant Excellence

May 4, 2023