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Intrusion case
From: Fred Barnett To: ROOTS Sent: Tuesday, August 30, 2011 7:58 PM Subject: [roots] intrusion case Very strange case......take a look and try to figure out what is going on here - Fred
It doesn't look like it ever erupted. No damage to root, normal PDL space and laminate dura.
Impaction is my guess. The only real answer would come from the clinical history or
old radiographs, though. - Milan
Hello Fred, Pretty interesting How did the central become evulsed? I can see
that the existing central is impacted and will be directed into the site
Is the patient micrognathic? How old? Will the eruption of the
existing central help with arch form? Will ortho correction be
considered. Do to the position of the central do you anticipate an easy eruption?
I am in the process of finishing a case very similar to the posterior
problems this patient has. Nice case - Clarence
Why would there be an empty socket if it hadn’t been intruded and pushed through the labial plate?
How many empty root sockets do you see with no history of a tooth? - Terry
Hi Terry, When I looked at this, it looked like the right maxillary central incisor
was absent (in the socket you pointed out). And the left maxillary central incisor is
the one that is impacted. This really looks like a case where the left central never
erupted and the erupted dentition crowded into the space, so that there were only 3 incisors
in the arch. Then the right central incisor was extracted for some reason very recently.
It is unlikely that an avulsed tooth would have such a well-formed socket while exhibiting
such a tightly formed periodontal ligament space in its new location. - Milan Madhavji