Severe tooth fracture below the gingiva level: root planning and tooth reconstruction

Severe tooth fracture below the gingiva level: root planning and tooth reconstruction

 

Fig. 1

Fracture of the facial cusp of an upper premolar tooth due to trauma following fainting

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Fig. 2

The tooth was endodontically treated in the past; the entire facial cusp was lost. Dr Deliperi was able to save the tooth and avoid both tooth extraction and implant placement. He completed both a root planning and gingival plastic surgery

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Fig. 3-4

Once tissue healing was completed, Dr Deliperi completed the restoration of the structurally compromised tooth using a fiber-reinforced composite resin in just one appointment.

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Fig. 5

Final result after completing the restoration of both the first and second premolar teeth. Both function and aesthetics were achieved without tooth extraction and implant placement!

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Before After

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