04/24/2026
Colleagues,
Here’s an incredible case I wanted to share with you that Dr. Brian Choi has been handling.
Tooth #9 presented with extensive vertical bone loss extending almost to the apex. The prognosis looked hopeless at first glance.
Instead of jumping straight to extraction and implant, we took a conservative approach: conservative, non-surgical treatment, occlusal analysis with bite adjustment, and Invisalign to stabilize the occlusion and reduce traumatic forces. No surgery, grafting, or lasers were used.
The result? The tooth is now fully stable, periodontally healthy, with excellent bone support with a very favorable long-term prognosis.
This is exactly why early perio intervention and close collaboration with restorative dentists can change the trajectory of these cases. Sometimes the best implant is the natural tooth we manage to keep!
Swipe through the 6 radiographs to see the progression.
Would love to hear how you’re approaching similar anterior perio cases in your practice. Drop your thoughts below!
GeneralDentistry NYCPerio BoneLoss InvisalignPerio