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This young girl avulsed her tooth. It was reimplanted and splinted. Endodontics was done, but eventually the tooth had to be extracted due to external resorption of the root. A mini was subsequently placed with a composite crown in place. About 13 years old then, orthodontic treatment was commenced and completed. By then, she was about 16, so we placed in a PFM. If we compare the 2 Xrays closely, it can be seen that the bone level has climbed or risen up to match that of the adjacent teeth. Thus in young children, where bone maturity has not been reached, an adjustable composite tooth built on a mini may be an option in order to compensate for bone growth and obviate submergence that may result. Treatment of choice?
Bone has climbed up along the mini implant and even up and around the base of the PFM.
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