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Don't give up on me, cried the tooth!


Don't give up on me, cried the tooth!

Date :19/03/2020

An elderly patient reported with a dislodged gold crown.

Examination revealed fracture of the distal portion of the tooth (Fig 1,4).

Given the medical status of the patient and based on certain existing favorable anatomic features with diagnosis from the Intra oral xray (Fig 2), we decided to retain the tooth and restore it.

 

PREOPERATIVE VIEW

 Preoerative view       

 

 imageuploads/covered/2020/03/19/preoerative-view.jpg

        

First step was to increase the existing crown length along with some amount of gingivectomy. LASER was employed to do a minimally invasive and Atraumatic procedure. We waited for a few days to allow adequate healing. (Fig 5) 

Next step was to build a core structure (Fig 6 shows isolation), in order to place a crown or a cap.

Post operative view after Crown legthening with LASER

 

imageuploads/covered/2020/03/19/post-operative-view-after-crown-legthening-with-laser-.jpg  

 

Fiber Post (IVOCLAR*)  was placed and the core structure was built.(Fig 7 – 9)

 

FRC FIBER POST, IVOCLAR 

 

Core build up done with fiber post and composite core buld up material

 

IOPA Radiograph after post and core build up. 

 

Core Build up

 

 Crown Preparation was done and a digital scan (fig 11) for an impression was obtained.

Crown preparation and retraction

 

3D printed Models

Monolithic EMAX crown was fabricated (KATARA DENTAL, PUNE) and bonded.(Fig 10 -12)

EMAX Crown , KATARA DENTAL PUNE     

 

EMAX Crown

Final Result

 Preserving the natural teeth has unique benefits. And by using a bonded restoration we can add years to the life of the tooth. 

Final bonding of EMAX crown     

 

EMX Crown in Occlusion

 

Before and After

 

 

Dr.Deepti C jain, Dr.Niranjan P

 

 

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