Dr. Victor M. Sternberg 

August 29, 2023 

Thank you for your responses to the management of the aesthetic and periodontal challenge on tooth  #11. 

The consensus was to orthodontically erupt this tooth slowly, bringing down the tissue and the bone.  When the defect on the root is above the tissue height the mesial defect on the tooth should also level  off as the tooth is erupted. At that point a new restoration can be made which will not invade the  attachment apparatus. Any other choices would lead to a significant aesthetic issue for this patient. 

Many of you presented this as a best alternative. 

This has been discussed with an orthodontist who could bond to the porcelain crown allowing the  patient to remain as they are through the entire eruption procedure. 

At the end of the eruption the gingival fibers will be severed and the tooth stabilized for several months  before a new restoration can be fabricated. 

I will share the progress with you as it occurs. 

Yours truly, 

Victor M. Sternberg, D.M.D. 

/mp 

THIS IS THE ORIGINAL X-RAY

By Westchester Center for Periodontal & Implant Excellence

August 31, 2023