Severe tooth fracture below the gingiva level

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

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

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.4(18)

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!

fig.5(16)

Before After

fig.1(28) fig.5(17)