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Not an implant case
From: Harald Prestegaard
Sent: Sunday, November 27, 2005 9:29 PM
Subject: RE: [roots] Not an implant case
A case from yesterday showing a case whithout an implant solution,
but still using the techniques that aquired from implant treatment.
So I think that a bridge still can be a good solution
45 years-old woman with a loose crown on tooth 21.
X-ray showing a quiet big post on a root resected tooth done
20 years ago.
Suspected root fracture. Removed the crown very easy and the post
followed the crown.
Root fracture was confirmed.
The patient did not want an implant so we decided to make a
The root 21 was sectioned and removed very carefully to not damage
the buccal bone plate.
A temporary bridge was made to tray to support the gingiva/papilla
under the healing.
Healing 2-3 months before final treatment.
Harald Prestegaard, Norway
beautiful temp, Harald - Marcos Arenol
Hy Harald, Cam you elaborate why the patient doesn't want
an implant? Nice documentation! - Carlos Murgel
I try do give the patient the different treatment options we have.
I let the patient be a part of the decision making.
If it had been myself I would prefer an implant because of
possibilities of fractures also of the abutments in the new bridge
over time. I would have been very strong minded if it the abutments
teeth were "virgin". Then I would tried to convince the patient
toward implant treatment. In this case I think a bridge is still a
good option and that is why I posted it. I think that we must not
forget the old fashion way of treat this kind of problem, and
remember that the prognosis for this treatment we do know something
about. The modern implant treatment wirh immediat placing/immediate
loading/new surface structure etc... we still do not have a lot of
experience. In this case I think money was important and also that
the crown on tooth 11 also had fractures in the layering porcelain
and was going to be replaced. - Harald Prestegaard