By: Victor M. Sternberg, D.M.D.
May 5, 2023

The patient presented with a deep pocket between #4 and #5. #4 had a fracture.

The tooth was extracted and a bone graft was done.

Upon re-opening the site the severe dehiscence on the facial of #5 was noted.

The decision was made to place the implant and graft #5 with a membrane and an Allograft.
Ultimately, at least radiographically, the case has been successful. Recent probing of tooth #5 has not been able to elicit a deep pocket meaning that there is some sort of attachment on to the mesial of the distal facial of #5.

The longevity at this point remains to be seen although the prognosis is probably better than if it was periodontally involved since the defect was created by an infection in an adjacent tooth. These types of defects, from an adjacent tooth infection, have a better outcome than defects created by periodontal disease.

As always I appreciate your feedback.
Yours truly,
Victor M. Sternberg, D.M.D.

By Westchester Center for Periodontal & Implant Excellence

May 15, 2023