more case studies: Treatment for a Tooth Abscess  |  Rapid Bone Fill - Bridge Extraction Avoided |Bleeding, painful, itchy gums restored to health  |  Pussy Gums of Heavy Smoker Restored to Health  |  Dental Implant Alternative  |  Osseous periodontal surgery alternative - Regeneration of pockets instead of surgical reduction of pockets  |  Combined treatment to save "hopeless" abscessed front tooth

Case 5: Dental Implant Alternative

Advanced bone loss with cemental tear #9

This patient had suffered trauma to her front tooth as a child, the resulting cemental tear and advanced bone loss are obvious.

Tooth #9 was considered hopeless by the periodontist due to the deep pockets, mobility, and what is called a cemental tear (which typically cannot be treated without surgery or an extraction of the tooth) - tooth #9 was treatment planned for extraction, replaced by a bone graft and implant.




Before RPE – 10mm pocket mesial #9 (this tooth has class II mobility)

Before RPE - #9 ML – 12mm pocket

One year later this patient returned for her reevaluation of tooth #9, the x-ray revealed excellent bone fill, and the tissue is now tight and healthy.



1 year after 3mm
1 year after 3mm
1 yr after 4mm
1 yr after 4mm



Advanced bone loss with cemental tear #9
The cemental tear and advanced bone loss are obvious

1 year after RPE (x-ray) – excellent bone fill

This patient was thrilled with her result. She continues to do well and her tooth has tightened up nicely, with less than class I mobility at her one year reevaluation.  She was able to avoid a tooth extraction, bone graft, and implant.