An interdisciplinary approach towards aesthetic management of anterior tooth trauma

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Posted on By Dr.Ramesh Gupta In Anterior/Esthetic

A patient reported to our office with chief complaint of fractured upper and lower front teeth.
On History taking, patient told us that he slipped on the ground and traumatized his upper and lower front tooth one day before.On extra oral examination , swelling of upper and lower lip was present, no sign and symptom of maxillary or mandibular fracture was found.On intraoral examination, crown fracture with respect to tooth number 11, 41 and 42 was present.
Diagnosis-
Crown fracture with respect to tooth number 11 was extending beyond CEJ on palatal aspect and a diagnosis, according to Hargreaves and Craig classification, class 4 fracture was made.
Crown fracture with respect to tooth number 41 and 42 involved pulp, It was diagnosed as class 3 fracture according to Hargreaves and Craig Classification.
Poor oral hygiene
Disproportion mesio-distal width of 12 as compare to 22
Uneven gingival zenith 13-23
Treatment plan with respect to tooth number 11 : Root canal treatment followed by Post and Core Orthodontic Extrusion and C.L.P

Aesthetic Crown lengthening from tooth number 13 to tooth number 23 followed by E max Prosthesis with respect to tooth number 11

Treatment plan with respect to tooth number 12 : Recontouring, as the width of tooth number 12 was more than tooth number 22

Treatment plan with respect to tooth number 41 and 42 : Root canal treatment followed by direct composite veneer.


INTRA ORAL FRONTAL AND PALATAL VIEW
POST AND CORE, ORTHO EXTRUSION

POST ORTHO EXTRUSION
C,L,P AND FINAL TRT PHOTOGRAPH


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2 Comments

Nicely managed. Using all the tools to save the tooth. Well done. compliments. Dr. Salama


Reply

Thanks for your compliments.This is bit lengthy case,because of that, I could not post detailed case photographs here. If some one is interested in going through full case, they can visit dental xp group or my timeline at F.B.


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