[Diagnostic / Planning]  Huge Incisive Canal, no room for implant...graft the canal?

This patient has a huge incisive canal who lost her two front teeth in an accident.  This case is beyond my skill level, but is there anyone out there who would graft the incisive canal?  

She is currently looking doing a bridge, but was interested in 2nd opinions on implants. 

The canines and laterals have been prepped for the bridge. 

Thanks for any opinions.

by Jason Chang at Tue, May 15, 2018 5:35 PM

1186 Views | 3 Replies

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Jason Chang Replied at Wed, May 16, 2018 5:29 PM

Sorry, I neglected to upload all the pictures.  I've added a few.  Thanks for your opinion.  

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Bernard Jin Replied at Tue, May 15, 2018 8:31 PM

Jason - please remove your patient's personal information from the images ASAP.

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Ho-Young Chung Replied at Tue, May 15, 2018 7:56 PM

Hi Jason,

Really hard to tell based on your images.  I would have to see a cross sectional slice rather than cef or pan.  However, based on your model of missing teeth, you have a big vertical defect as well.  That is hard to overcome even for the best of us.  If patient has a lower lip line and seeing as you have already prepped teeth for a bridge, I would say with a bridge.  This case would involve a lot more than just grafting the incisal canal or grafting horizontally.

Ho-Young Chung