Esthetic correction of the upper anteriors

Introduction:

A 36-year old woman had visited Sujay’s Dental Care complaining about discoloured and chipped off fillings in the upper front teeth.

Patient had a history of fractured upper anteriors following trauma 10 years ago.

Evidence-Based Dentistry:

As a part of Evidence-based treatment, we took full mouth OPG. After examining OPG x-ray of the teeth, our team of dentists decided for

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

*OPG before and after folllowing RCT.

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.

Follow Up:

• A regular follow up every 6 months is advised.

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