By: Victor M. Sternberg, D.M.D.
March 15, 2023
A number of years ago I shared with many of you a hopeless lower lateral incisor, ironically in the dentition of a dentist.
As you can see from the radiographs and from the photographs, the tooth has minimal bone remaining on the distal and distal buccal aspect of the tooth. Fortunately mobility was not significant. The dentist understood the limitations and unpredictability of a procedure such as a bone graft, but elected to have it performed.
As you can see from the selected pictures the area was grafted with an Allograft combined with plasma derived growth factor and Emdogain and covered with a collagen membrane.
ONE YEAR LATER
Photographs today, 12 years later, show complete regeneration at least in terms of radiographically as well the inability to probe the distal aspect of this tooth.
12 YEARS LATER
Predictability of defects of this nature are certainly questionable, however, it does show the repair potential of a purely periodontal defect on a single rooted tooth.
It appeared on the original radiograph that this might be endodontic or might be due to a fracture but neither was noted.
The fact that it completely repaired rules out those other two possibilities.
The removal of this tooth would have presented a challenge restoratively since it would have been difficult to build a buccal plate back once the tooth was out making an implant challenging both clinically and aesthetically.
As always I appreciate your feedback.
Dr. Victor M. Sternberg, D.M.D.
By Westchester Center for Periodontal & Implant Excellence
March 20, 2023