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Pain in the gum
From: Marcela
Sent: Thursday, February 15, 2007 1:19 PM
To: ROOTS
Subject: [roots] Dancing in the gum
A 25 years old girl came today with pain in the gum of URQ.....
Beautiful baby tooth (URb).
Do you think there is enough mesial-distal space to fit an implant
without risking the roots next to it?? - Marcela
Marcela: The proper way to evaluate a lateral incisor case is to
measure the lateral on the contralateral side and make sure you have
the same m/d width in the proposed implant area. The short answer
is yes you have enough room for an implant, although often times we
need to use a narrow diameter implants, typically 3.3 or even 3mm
in diameter. What is often more of a concern is a concavity or
undercut on the facial aspect of the area. In other words, make
sure you have enough bone thickness b/l, which may be more limiting
than the m/d width. Often times site development procedures like
ridge splitting or even block grafting is necessary to correct this
facial deficiency. An occlusal radiograph can be helpful
in diagnosing.- Gary
Hi Marcela, How about a Maryland with lava wing - John Valentine
Hi John, The patient wants to watch it for the moment, she prefers
to wait until it fall down by itself. Yes a Maryland can be an option
too, all depend on the patientīs budget - Marcela
Marcela, This is going to be close.
To be done only by a careful surgeon with experience.
Max laterals are typically an easy placement; but this will require
someone with the sense to take progress x-rays during the positioning
of the pilot drill, just as you should do when going deep to find
a calcified canal. : ) - Wes Rampton
Thanks Wes. Donīt worry I am not going to fit the implant ;-)
the patient wants to wait - Marcela
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