sometimes you have to bridge...
I have done very few bridges in the last few year...but sometimes you have to. This patient came to me with a ton of pain on a tooth that he said was extracted 8 years ago. After I took the PA we noticed the problem... an infected root tip that was left. He has been wearing a flipper.
He initially wanted to do an implant, but after flapping and extracting the infected root, we realized that extensive bone grafting was going to be necessary and it just wasn't in his budget.... so we did a bridge today (about 8 weeks after extraction). The bridge was e.max A3.
He was quite happy. This is immediate post op today... An implant would have been nice, but some scenarios a bridge does the job.
Looks nice. Has to be a huge improvement over a flipper in both function and esthetics. I seem to have trouble getting a big enough connectors on bridges like that. Was that an issue here?
Awesome results! Is this MT with some custom staining? Delivered one visit? I assume. Thanks for sharing!
Infected root tip as well as a LEO on #8. I would have done an apico on 8 as well. Was a CBCT taken? Just treated a dual apical radiolucency case very similar last week. More than likely small root tips like #9 are asymptomatic and the real issue is the apical lesion on #8.
I surgically flapped and removed the root to evaluate bone and their was puss everywhere. He feels perfect now after root tip extracted. I know that is unusual, but was the case here. If course took 3D. Always do on a case like this. There could be a need for apico on 8.... and was a small lesion on 3D... but I have no clue how long it's been there and it's not symptomatic so we are going to monitor for now. We did talk about that though...
Certainly can be #9 root tip. In my case both were asymptotic and found on routine FMX. CBCT and clinically they were significant. #9 was getting into the apical area of implant on 10. Either way the bridge looks nice!
