Esthetic correction of upper anteriors

0
549

Age: 36                                                                                   Gender: Female

Type of the Case: Esthetic  correction of the upper anteriors

Chief Complaint: Complained of discoloured and chipped off fillings in the upper front teeth.

Pre Operative:

preoperative-frontal-view-esthetic-correction-case-1

preoperative-opg-esthetic-correction-case-1

Clinical Findings:

  • Existing discoloured and ill contoured composite restorations wrt 12,11.21.22
  • Periapical radiolucency wrt 12,11,21,22
  • Secondary caries wrt 12,11,21,22
  • DCPI wrt 16
  • Impacted wrt 26, 28
  • Mesially drifted and supraerupted  27
  • Deep dental caries wrt 36

During The Procedure:

post-and-core-w-r-t-esthetic-correction-case-1

temporization-and-shade-selection-esthetic-correction-case-1

crowns-trial-w-r-t-esthetic-correction-case-1

 

Alternative Treatment Plan:

  • Fixed partial denture wrt lower anteriors
  • Composite veneers for the upper anteriors.

Treatment Plan:

  • Root canal treatment wrt 12,11,21,22, 16
  • Advised RCT wrt 36
  • Crowns wrt the root canal treated teeth.

Treatment Procedure:

  • Preoperative radiographs and models were made.
  • Mock up was performed on the models. Putty index was made.
  • Existing composite restorations wrt 12,11.21,22 were removed that were deep. Secondary caries with the same were excavated and root canal treatment was completed.
  • Root canal treatment was completed and crown was given wrt 16.
  • Post and core was performed for the upper incisors, followed by crown preparation and final impressions. Crown lengthening was done wrt 12. Shade selection was done. Temporary crowns were made.
  • Trial was carried out and patients consent was sought.
  • Final cementation of the crowns were done using resin luting cement.

Post Operative:

final-cementation-of-crowns-w-r-t-esthetic-correction-case-1

opg-folllowing-rct-esthetic-correction-case-1

Follow Up:

  • A regular follow up every 6 months is advised.

Treatment Done By :


dr-kshitija Dr.Kshitija Prasad (Periodontist) MDS

dr-rohith-ganiga

Dr.Rohith Ganiga (Prosthodontist) MDS

dr-eshani-kaul

                      Dr.Eshani Kaul (Esthetic Dentist) CERT. AD

LEAVE A REPLY

Please enter your comment!
Please enter your name here