Shawn Sharp Good morning everyone,
Having a pediatric dentist working side by side in our office allows me to see and treat cases that can be somewhat challenging. This young man (14 years young) presented this morning having taken an elbow to the mouth during a basketball game. He indicated that the tooth was loose but was not having any pain. As you can see by the attached radiograph, we have a serious root fracture. I am also attaching a photo of his current occlusion, which also is mess at this time. . Today, we splinted the teeth together so the patient would not lose the coronal portion of his tooth, as we work on his treatment options. Our ultimate goal is to preserve his ridge as best as possible for future implant placement. Our initial thought is to endo the remaining apical root to keep this asymptomatic and preserve the ridge until he is old enough for implant placement. We feel there is not enough apical root left to extrude and support a crown restoration. If we extract everything, our concerns are loss of supportive bone levels, considering he wont be a candidate for implant therapy for quite sometime.
If someone has other options, would be great to hear them.
Cheers!
Sharpie
