Frontal Incisor Composite Restoration
Patient Profile
Diagnosis
Background
Anna Z., a vibrant woman in her mid-thirties, experienced a sports-related accident that resulted in the breakage of her frontal central incisor. This unfortunate incident caused a notable fracture in the tooth, impacting both the aesthetics of her smile and her ability to chew properly. Understanding the importance of her oral health, Anna promptly sought dental care to restore the damaged tooth and regain her confident smile.
Upon examination, we found that the tooth remained vital with mild sensitivity so it was decided that a composite restoration would be the most appropriate solution to address both the aesthetic concerns and functional aspects associated with the damaged incisor.
Treatment Plan
Preparatory Steps
Comprehensive dental examination, including intra oral x-ray, to assess the extent of the damage and identify any underlying complications. Impressions taken of the affected tooth and the surrounding area to aid in creating a custom composite restoration.
Filling Design
The impression was poured into gypsum models and the desired shape of the tooth was established with the assistance of wax. Special attention was giving to achieving a harmonious integration with the symmetrical neighboring central incisor. The contact point with the inferior teeth was also evaluated.
Filling Preparation
The shape design on the model was replicated using an impression on the actual tooth. The palatal side served as a guide for the final filling. These 3 steps could take as short as one day to up to seven days.
Filling Placement
The damaged tooth was gently cleaned and prepared to remove any debris or rough edges. A minimally invasive approach was employed to preserve as much healthy tooth structure as possible while ensuring proper bonding of the composite material.
Follow-up
Anna received guidance on proper oral hygiene, including regular brushing, flossing and routine dental check-ups. A six-month appointment frequency was recommended for evaluating and polishing.
Conclusions
The composite restoration performed for this type of dental trauma resulted in a favorable outcome, both aesthetically and functionally. The conservative approach preserved the tooth structure while achieving satisfactory results.
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