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| Fig. 36. The
X-ray shows serious coronal damage to 2.6 and a 3rd degree lesion
of the vestibular and distal bifurcations of the same tooth.
Also present is serious bone damage to the two premolars. |
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| Fig.
37. Endodontal treatment follows. |
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| Fig. 38. A mucoperiosteal
flap is sculpted and raised. |
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| Fig. 39. Treatment
continues with avulsion of the distal vestibular root. |
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| Fig. 40. Differential
preparation of the treatment of the stump then begins. |
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| Fig. 41. A Duralay
core is prepared and suitably shaped. |
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| Fig. 42. The
gold core is cemented. |
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| Fig. 43. A temporary
prosthesis is constructed with a palladium bite (to maintain
the vertical dimension). It also includes the two premolars
which present 2nd degree mobility and in correspondence to which
it will be necessary to perform a reconstructive bone operation. |
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| Fig. 44. Having
sculpted a mucoperiosteal flap, the bone is remodelled at the
two premolars and 2.6 to improve the bone architecture. |
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| Fig. 45. After
removing the granular tissue, the bone defects at the level
of the mesial surface of 2.6 and the palatal surface of the
premolars are in full view. |
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| Fig. 46. After
placing the flap under tension with a safety stitch, treatment
of the bone defects continues with three Interpore 200 implants. |
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| Fig. 47. Bone
reconstruction has been completed and suitably modelled. |
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