TREATMENT
OF PERIODONTAL LESIONS IN MULTIROOTED ELEMENTS
GUSTAVO
PETTI
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site www.gustavopetti.it
Graft
with heterologous bone
Figs 48, 49. X-rays before and after the Interpore
200 implants.
Fig. 50. A precision
impression of the three stumps is taken following healing.
Fig. 51. Detail
of the master pattern highlighting the shoulder at 2.6 and the
careful preparation and smoothness of the curve of same.
Fig. 52. The gold-platinum-porcelain
prosthesis is constructed.
Fig. 53. Special
care is taken in constructing the crown of 2.6, which must allow
the interradicular papilla between the mesial-vestibular root
of 2.6 and 2.7 to "breathe".
Fig. 54. Serious
damage to 2.6 with a passing 3rd degree lesion involving all
three bifurcations, periapical osteolysis and a most serious
periodontal bone lesion, especially at the level of the mesial
vestibular root.
Fig. 55. X-ray
of the periodontal and endodontal lesions of 2.6.
Fig. 56. After
sculpting a mucoperiosteal flap, the roots are separated and
avulsion is chosen for the mesial vestibular one.
Fig. 57. After
removing the irrational crown of 2.5 and with 2.4 pensile, Duralay
cores are installed on the two remaining roots.