Decoronation: An Alternative Treatment for Replacement Root Resorption

Figure 2

(a) Routine radiographic projection 7 years after the trauma, in which arrested root development can be observed and replacement root resorption in 22 extends from the cervical area down practically the whole of the root. (b) Photograph of the anterior area. Note the clinical aspect of the tooth with suitable aesthetic appearance in harmony with the adjacent teeth. (c) Photograph of 22 during decoronation, after cutting off the crown at the bone margin. (d) Photograph of 22 at the completion of the decoronation procedure, when the full-thickness flap was placed over the alveolus and sutured with interrupted stitches. (e) Radiographic projection of 22 after decoronation, showing the root remaining at the level of the bone crest and the wire for prosthetic rehabilitation. (f) Intraoral photograph of aesthetic rehabilitation achieved via a bridge attached with 0.9 mm wire and a composite pontic, achieving a satisfactory esthetic result.