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.
Victor M. Sternberg, D.M.D.
THIS IS THE ORIGINAL X-RAY
By Westchester Center for Periodontal & Implant Excellence
August 31, 2023