Complex restoration of an anterior tooth

A patient came to our clinic with complaints of chipped teeth 1.2 and 2.1 and a fracture of tooth 1.1 caused by a fall after losing consciousness. She also had acute pain in the area of tooth 1.1. The patient was in despair because at the previous clinic she had been advised to have the tooth removed and an implant placed. She did not want to lose her natural tooth and was looking for a specialist who could repair the defect.

While there were no particular issues with teeth 1.2 and 2.1, tooth 1.1 was split into three parts and had an exposed neurovascular bundle. Before offering treatment options, X-ray diagnostics were required. On the image, the doctor saw that the tooth roots were intact, with a fracture of the crown portion of tooth 1.1 passing through the pulp chamber.

We proposed treating the root canals and performing a direct restoration. Direct restoration is carried out in the dental office by the doctor, using strong, reliable, and long-lasting composite (filling) materials. Indirect restoration, on the other hand, is made by a dental technician in a laboratory based on impressions of the jaws.

The patient agreed to direct restoration. The treatment took 2 visits of 1 hour each and was carried out in several stages.

        STAGE 1
        
X-ray diagnosticsThe patient was invited to the X-ray room, where an OPG image was taken using equipment from the German manufacturer Sirona Dentsply. The integrity of the roots of the three damaged teeth was confirmed, and the fracture site of tooth 1.1 was identified.

        STAGE 2
        
Consultation and treatment planThe patient was informed about the treatment plan that the doctor considered optimal. We explained in detail what procedures would be performed, who would perform them, how they would be carried out, the expected service life of the restoration, and what visual result to expect. The patient agreed to endodontic treatment followed by direct tooth restoration.

        STAGE 3
        
Endodontic treatmentOn the same day, immediately after the consultation, the patient went to the office of the clinic's chief dentist, Lidiia Volodymyrivna Bulyhina. The broken parts of the tooth were removed, and the root canals were treated under a microscope from the German manufacturer CJ Optic. After treatment, a temporary filling was placed for 1 day. The acute pain no longer bothered her.

        STAGE 4
        
Control X-ray imageAfter endodontic treatment, the doctor took a targeted X-ray to make sure the root canal filling had been performed properly.

        STAGE 5
        
Tooth reinforcementThe next day, the patient completed treatment with Maksym Valeriiovych Makarenko. Before starting the tooth restoration, the doctor reinforced the tooth to create support for the future restoration. 

        STAGE 6
        
Tooth restorationThe doctor restored teeth 1.1, 1.2, and 2.1 using the direct method with the Japanese composite Asteria. The patient was satisfied with the completed work.

Complex restoration of an anterior tooth

X-ray diagnostics

Consultation and treatment plan

Endodontic treatment

Control X-ray image

Tooth reinforcement

Tooth restoration

Treatment was performed by:

Maksym Makarenko

Lidiia Bulyhina

Restoration of front teeth

Teeth alignment and prosthetic treatment with veneers

Our services

Patient documents