Orthotown August 2017 - 26

message board
Continued from p. 24

Conclusion:
It took a lot of patience to treat this case. It is worth trying to save any tooth. Worst-case
scenario, the tooth would have been extracted but bone would have been preserved in the process.
We were fortunate that root resorption was minimal and bone was preserved. The patient very
much appreciated having his natural tooth during adolescence. Mom is now starting orthodontic
treatment! ■
5/3/2017

Gotitstr8
Member Since: 04/01/09
Post: 2 of 5

Very nice. I agree that you have little to lose and much to gain with this approach. Do you
have any progress photos showing the bulge of the crown on the gingiva? It is a great service to
the kid and his family. I suspect that many orthos would not attempt this. I think it is always
worth a shot as long as the risks are relatively low and understood by all.
I used similar reasoning when using guided eruption of a horizontally impacted lower canine
crossing the midline. Although there was risk of resorbing the roots of the incisors, I felt the
benefit outweighed the risk and was always ready to extract if that became an issue. Attached
gingiva was not ideal, but far better to have graft rather than implant.
Another point is the treatment fee. It is difficult to charge appropriately in cases like this. I
only add $500-$1,000 to the fee-not enough to really compensate for the time, but due to the
uncertainty I think it is reasonable. If successful, the goodwill generated with the family and
dentist should make up for the time invested. ■

5/3/2017

davidharnick
Member Since: 08/28/02
Post: 3 of 5

danbraces
Member Since: 11/09/08
Post: 4 of 5

Great job. The perio looks pretty good also. Thanks for sharing. ■
5/4/2017

Great case. As we have turned our attention to 12-month-and-less treatment times, this reminds
us that there are plenty of these types out there. I have had many discussions with orthos who
would just ext. We have many like this all taking several years to complete. This reminds us also
that our profession needs to see young patients for recall and early panos to catch these things. ■
5/7/2017

Share your cases!
Search: "Inverted Impacted"
Have you dealt with a case involving impacted teeth similar to Orthotown board member
Ann Marie Gorczyca? To share your cases and weigh in on treatment options, go to
orthotown.com and search the message boards for "inverted impacted"-
this conversation will be the top result.

26

JULY/AUGUST 2017 // orthotown.com


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Table of Contents for the Digital Edition of Orthotown August 2017

Orthotown.com Highlights
Embrace Progress: The Standard of Care (Records, Anyone?)
Industry News
New Products
Message Board: Girl with Systemic Lupus Erythematosus
Message Board: Inverted Impacted Teeth, Patience is a Virtue
Office Visit: What's Up Doc?
The Speed of Light
What's Your M.O?
Untangling Web Marketing
Ad Index
Orthotown August 2017 - Cover1
Orthotown August 2017 - Cover2
Orthotown August 2017 - 1
Orthotown August 2017 - 2
Orthotown August 2017 - 3
Orthotown August 2017 - 4
Orthotown August 2017 - 5
Orthotown August 2017 - Orthotown.com Highlights
Orthotown August 2017 - 7
Orthotown August 2017 - Embrace Progress: The Standard of Care (Records, Anyone?)
Orthotown August 2017 - 9
Orthotown August 2017 - 10
Orthotown August 2017 - 11
Orthotown August 2017 - Industry News
Orthotown August 2017 - 13
Orthotown August 2017 - New Products
Orthotown August 2017 - 15
Orthotown August 2017 - 16
Orthotown August 2017 - 17
Orthotown August 2017 - 18
Orthotown August 2017 - 19
Orthotown August 2017 - Message Board: Girl with Systemic Lupus Erythematosus
Orthotown August 2017 - 21
Orthotown August 2017 - 22
Orthotown August 2017 - 23
Orthotown August 2017 - Message Board: Inverted Impacted Teeth, Patience is a Virtue
Orthotown August 2017 - 25
Orthotown August 2017 - 26
Orthotown August 2017 - 27
Orthotown August 2017 - Office Visit: What's Up Doc?
Orthotown August 2017 - 29
Orthotown August 2017 - 30
Orthotown August 2017 - 31
Orthotown August 2017 - 32
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Orthotown August 2017 - The Speed of Light
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Orthotown August 2017 - Untangling Web Marketing
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Orthotown August 2017 - Ad Index
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