Management of an Avulsed Central Incisor. Dr. Stephen Abrams Cliffcrest Dental Office 2995 Kingston Road, Scarborough, Ontario 416-265-1400 E Mail; email@example.com. Background History. 48 year old male fell face first on the floor after getting up from the couch.
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Dr. Stephen Abrams
Cliffcrest Dental Office
2995 Kingston Road, Scarborough, Ontario
E Mail; firstname.lastname@example.org
Incisal edges repaired with bonded composite (EPIC TMPT Parkell). Tooth 11 – 22 splinted with composite as well. Pin placed into incisal edge of 11 to retain large composite build up.
Mirror view bony sequestrum approximately 2 mm. tall and 4 mm. long removed
Good tissue apposition on the lingual of # 21 where sequestrum was removed.
Endodontic access initiated and Calcium Hydroxide placed in Tooth # 21
Note good gingival tissue adaptation around the teeth.
Obturation with Thermafil
Periodontal tissue is healthy around teeth 11 – 22. There has been some minor recession on the lingual of tooth 21 following the removal of the bony sequestrum. There is no periodontal pocketing and the probing depth is 3 mm. with a firm soft tissue attachment.