Dear colleagues, I just posted this to the AAE forum, and I’m hoping TDO’ers could lend an opinion as well.
This is a 9yo girl with a high esthetic desire (wants to be a model/actor). She avulsed tooth #9 about 3 years ago, and she has been under treatment with other endodontists. I guess they attempted revascularization with MTA about year ago. #9 is ankylotic with a few mm’s infraposition. It is gray due to the MTA. #8 is slightly yellow/white due to calcification/obliteration but she says she feels cold testing and it is otherwise asymptomatic.
I spoke to her about the following options for #9:
1) Decoronation and a fake tooth for her teenage years
2) No treatment, except internal bleach then bonding/veneer.
3) Autotransplantation of a mandibular premolar
4) Segmental osteotomy/corticotomy later
Are they any other options available? How would you approach this case? Thanks in advance!
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