All I want for the 4th of July is my Two Front Teeth

This was a cool case that took almost 6 months to finally deliver! Patient presented after trauma on the 4th of July with fractures on #8 and #9. The teeth were mobile and very sensitive. First Step: lets do some bonding to get them put back together.

Second Step: I noticed a fracture on the lingual, so we took a CBCT to see where the fracture was. Thankfully for this patient, the fracture was localized to #9 and was only about 1mm subcreastal. At this point, #8 was incredibly cold sensitive and radiographs showed a lesion developing. A root canal was performed and a fiber post was bonded into the canal to support the buildup.

Third Step: Since #9 only had bonding on the facial, I was able to perform crown lengthening to allow for ferrule and margins on the lingual of #9. The tissue was allowed to heal and the patient was brought back for a re-evaluation #8 weeks later. The tissue had healed well, and the patient was ready to move forward with crowns on #8 and #9. Sadly, at this point we determined that #9 was necrotic and had a large periodical lesion. A RCT, post, and core were performed and both teeth were prepped for crowns. Utilizing a series of photos to match the shade, cross polarization, and full face photos to analyze the occlusal plane and cant, the restorations were fabricated and delivered.

Finally, after 6 months of treatment…. Delivery Day!

These are layered eMax crowns, bonded with translucent resin cement. The patient absolutely loved them, and so did I! Shoutout to Midwest Dental Arts for the expert ceramic work!