Direct restoration of teeth after an injury.

Silver Members - Direct anteriors
3 Aug 2017

Today, trauma to permanent teeth is not uncommon. So patients turn to dentists for qualified help. There  are a few possible options, but I always give patients a choice between the direct and indirect restoration.

 

Fig. 1

In this clinical case, I was approached by a patient named Alexandra who then was 18 years old. A month befor she received injury to teeth 11 and 21 when she was in another city. She was given emergency care there.

Fig. 2

When examined, seals class 4 were found teeth 11 and 21 using x-ray, the defect was limited to solid tissues.When clarifying the patient’s request, it was found that the patient desired a more aesthetically pleasing smile and she wanted a better restoration . The patient Was offered two options – direct and indirect restoration. And the additional option was bleaching the teeth.The patient chose – bleaching and direct restoration and we started to work.

Fig. 3

The bleaching was done using the ZOOM4 whitening system. As a result the color of the teeth was changed from A2 to A1.

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The dissection of the old material was conducted then surfaces were processed with RondoFlex , in compliance with the Protocol of the adhesive technique Surpass.

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Fig. 10

The new restoration of teeth 11 and 21 was Started using a silicon key and applying layers of material Enamel Hri using color UD2 UD1 and OBN for creating a transparent cutting edge.Then final polishing was done.

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Immediately after the work was completed, the teeth were subjected to dehydration.

Fig. 16

At first, the restoration was significantly different from the teeth themselves , but after a week the patient came for a check-up , we were able to assess the end result.

Fig. 17
 

Conclusions

This technique and materials allow to restore the lost parts of a tooth with minimal dissection and maximum recreation the entire internal structure of the tooth and creation of macro and micro relief.

Bibliography