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Not an implant case

From: Harald Prestegaard To: ROOTS 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 bridge 11-22. 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 Hello Carlos, 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

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