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             Clinical Techniques

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Aesthetic Restoration of Severely Crowded Anteriors

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01.

Clinical examination

55 years old female patient visited the dental office with a chief complaint of pain in the upper front tooth. Clinical examination and IOPA radiograph revealed badly decayed tooth 11 with multiple class 3 cavities on tooth #12, 21. This complex case was managed based on a phased treatment approach in 3 stages.

02.

Treatment plan

Appointment 1 (Blue Rubber dam) – Removal of decay on the distal surface of tooth #11 was done followed by root canal treatment. Due to the extent of the caries lesion the mesial class 3 cavity was left untouched to avoid fracture of the crown during the course of the treatment. Removal of decay from tooth #12 was done both misally and distally.

 

Appointment 2 (Black Rubber dam) – Fiber post was bonded using Para core followed by restoration of tooth #11 distal surface and mesial surface of tooth # 12 using a Bioclear matrix.

Appointment 3 (Military green rubber dam) – Remaining Class 3 restorations on tooth #11 and #21 were completed with final finishing and polishing of restorative surfaces to achieve the natural aesthetics and enamel luster.

Clinical Case by
Dr. Anand Narvekar (India)

Materials Used

Aesthetic Restoration of Severely Crowded Anteriors

Case & photography by Dr. Anand Narvekar

Preserving Health
Enhancing Smiles

Minimally Invasive Cosmetic Dentistry (MiCD) is a holistic patient-centric

treatment approach ...

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