Case Study

Ceramic Tooth Reconstruction

Patient Profile

Name:
Mara D.
Age:
18
Location:
Brussels, Belgium

Diagnosis

Ankylosis of first upper premolar

Background

Mara, an energetic teenager, presented with a disharmonious smile due to incomplete eruption of her first upper premolar. There was no cavity, the hygiene was excellent and the teeth’s structure was very good.

Treatment Plan

Initial visual assesment of upper molar

Analysis

Radiographic examination confirmed the ankylosis of the first upper premolar, indicating the loss of periodontal ligament support. Previous attempts at orthodontic repositioning had proven unsuccessful.

Patient's inital smile

Preparatory Steps

A non-invasive impression was taken without any preparation of the affected tooth, preserving its intact structure.

Dental impression of upper molar

Laboratory Step

A dental technician prepared a ceramic overlay to restore the tooth's shape, aesthetics, and function.

Upper molar restored at the end of treatment

Bonding

The ceramic overlay was carefully bonded to the natural tooth, ensuring optimal integration with adjacent teeth and establishing appropriate interdental and occlusal contacts.

Follow-up

The treated tooth can be utilized like a normal tooth, allowing for easy dental flossing. Regular dental hygiene practices and periodic check-ups were advised to maintain its longevity.

Conclusions

This case exemplifies a conservative approach, as the treatment preserved the natural tooth structure without the need for invasive procedures. The successful integration achieved optimal functional and aesthetic outcomes.

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