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"A 48 year old patient presented in good health and requested
cosmetic treatment options for a misaligned and darkly stained
maxillary anterior dentition. The patient was dissatisfied with
the esthetics of her current dental condition. Tooth #11 had been
avulsed and re-implanted 10 years earlier. The tooth had a mesiolabial
rotation and overlapped tooth #21. It also had the typical non-vital
darkening relative to her other teeth. Clinical and radiographic
examination revealed tooth #11 had a large area of internal root
resorption in the cervical third of the root. An endodontic consultation
revealed a hopeless prognosis and a recommendation for extraction.
The treatment plan consisted of extracting the coronal third of
the root of tooth #11 along with its crown and inserting Perio-Glass
(a synthetic bone graft material) to maintain the labial palatal
width of bone. The apical aspect of the clinical crown was recontoured
to form an ovate pontic and rebonded in place for the ovate site
to heal for 4-6 weeks. A Vectris framework from 12-21 and six IPS
Empress Veneers from 13-23 finalized the treatment. |
