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Roberto Rossi

Periodontist

Treatment of severe root resorption (the best temporary solution)

Female patient 50 years old, referred for treatment of root resorption in the esthetic zone. The tooth was extracted but the original crown was restored with composite and used as a temporary crown to maintain the emergence profile and soft tissue. Upon osseointegration the final restoration was a screwed crown mimicking the natural tooth

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Initial situation the resorbed tooth is also slightly extruded
Radiograph showing the resorption
The tooth once extracted shows an extreme root resorption but a crown that is still almost intact
Another view of the damage
A delicate extraction preserves the soft tissue and papilla
The tooth was reconstructed with composite and the root cut preserving only the crown with its original anatomy, a fixture with a shape similar to the natural anatomical root was choosen
Flapless implant placement
the natural crown was re-positioned to support the soft tissue and to temporarily replace the 'missing' tooth
post-op rx
4 months post-op the natural tooth has kept the proper soft tissue profile
a temporary crown replaces the natural tooth
final restoration reaches a good esthetic standard and PES
A 6 year follow up shows the stability of the result
Avatar
Roberto Rossi

Periodontist

Treatment of severe root resorption (the best temporary solution)

Female patient 50 years old, referred for treatment of root resorption in the esthetic zone. The tooth was extracted but the original crown was restored with composite and used as a temporary crown to maintain the emergence profile and soft tissue. Upon osseointegration the final restoration was a screwed crown mimicking the natural tooth

Please rate this case
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