Replacement of a maxillary central incisor following dento-alveolar trauma Provided by Prof. Dr. med. dent. Michael Bornstein Prof. Dr. med. dent. Daniel Buser, Images taken with the 3D Accuitomo 170


Case:

Patient Female, 19 years old

 

Initial clinical presentation of a 19-year old female patient referred for dental implant treatment planning. The patient had an avulsion of the maxillary left central incisor with 8 years. The tooth was replanted using a titanium post. Since a few months, the patient had noticed a buccal fistula and growing „pinkish“ discoloration of the tooth.

 

Panoramic view of the patient exhibiting the replanted maxillary left central incisor. A lytic, hypodense region is visible between the crown of the respective tooth and the titanium post. The root of the central incisor is not discernible – and seems to have been resorbed in most parts. Additional findings include non-erupted third molars in the maxilla and mandible.

Figure 3A: Sagittal CBCT image Figure

Figure 3A: Sagittal CBCT image Figure

3B: Sagittal CBCT image Figure

3B: Sagittal CBCT image Figure

3C: Coronal CBCT image (Bild: 20_Figure3C)

Figure 3D: Coronal CBCT image

Figure 3D: Coronal CBCT image

Figure 3E: Axial CBCT image Figure

Figure 3E: Axial CBCT image Figure

Figure 3F: Volume rendered data set

Figure 3F: Volume rendered data set

Radiographic (A) and clinical (B) presentation two years after dental implant insertion in the region of the left maxillary central incisor.

Radiographic (A) and clinical (B) presentation two years after dental implant insertion in the region of the left maxillary central incisor.

Radiographic (A) and clinical (B) presentation two years after dental implant insertion in the region of the left maxillary central incisor.

 

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