Giorgio Tabanella
Diagnostic failure - Mistreated trauma associated with periapical chronic lesions and anatomic bone deformities - part 1
Category: Surgery
Language(s): English, German
Publication year: 2018
Video source: Tabanella DVD-Compendium
Series: Tabanella DVD-Compendium
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Case description:
A 57-year-old male patient presented with a discolored right maxillary central incisor due to a trauma he received about 20 years earlier. He reported that the tooth had been endodontically treated at the time. Since then, neither orthodontic nor prosthetic treatment had been performed. The patient's chief wish was to improve esthetics, although he had been told that not much could be done. The periapical radiograph, followed by a three-dimensional (3D) reconstruction, revealed the presence of an endodontic lesion, an atrophic basal bone, and an unusually large nasopalatine canal. Implant therapy was not an option; however, an advanced bone reconstruction was necessary prior to tooth extraction to avoid the complete collapse of the ridge in the esthetic area. A novel approach performing advanced tissue grafting to speed up the healing process is presented.
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