WARNING: This
case contains photos showing pus, blood, and a surgical defect.
Since this can be distrubing to some audiences you need to
confirm you're OK with viewing pictures of this nature.
December 13, 2005.
December 13, 2005.
Patient sought treatment because
of fractured incisor 4.1. There was caries that was easily
removed and restored with composite resin immediately.
However, the major problem was the advanced periodontal disease
causing pus, bleeding, and loss of all the bone support from
incisors 3.1 & 4.2.
With local anaesthesia, all the diseased soft tissue was excised.
Periodontal dressing was placed to fill the large space under
3.1, 4.1, & 4.2.
Radiograph shows 6 lower anterior teeth that were splinted
in 1993 using bonded composite resin & Ribbond, and incisor
4.1 that had root amputation done in 1994 at the time of periodontal
surgery for the other 5 anterior teeth. Patient did not attend
the dental office from August,1997 until December, 2005.
The splinting remained successful, opposing an upper complete
overdenture.
December 20, 2005.
December 20, 2005.
Photo was made immediately after removing
the dressing. 4.1 fractured corner is well restored with composite
resin. Soft tissue is healing well, close to the bone. Exposed
roots of 4.3 and 3.2, surprisingly, are not sensitive to air
or cold water.
One week after surgery, this lingual
view shows the splint that has not fractured after 12 years,
and shows 3 incisors with roots amputated. Time is needed
for more healing of soft tissue. Then, further treatment will
be done.
