Incisive nerve issues: place implant or bridge?

Last Updated July 17, 2018
Reviewed By:  Dr. David Levitt

I have a 20-year old male patient that presented with an asympotmatic swelling in 21 ( left upper central incisor) for the past 3 yrs, following a traumatic injury sustained while playing. Patient has no pain. I planned to do an extraction of 21 with curettage and graft placement, and then delayed placement of the implant as 2nd stage, subsequent to graft integration. However, the CBCT revealed nerve involvement. Now I’m in a dilemma, as to whether to risk implant placement or go with a conventional bridge? What is your suggestion?

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