fractured tooth

Fractured Tooth – Before and After

When a patient fractures a premolar, it depends on the angulation of the fracture, whether it can be saved with a crown or not. If the angle of fracture is oblique, (and comes out at a 45° angle, or even vertically then turns 90°,) then, a block of tooth breaks off, and the tooth can be rebuilt with a build-up and a crown. I will often rebuild these with minim pins placed very carefully 1.5mm from the outer edge of the tooth, this prevents tooth fracture, and keeps it out of the pulp chamber. Then, I will cure composite back onto the tooth and into the space around the pin(s) that are intended to retain the build-up. Then, you can make a crown. For premolars and anteriors, I like the beauty and strength of Obsidian… Read More »

Fractured Front Teeth Repaired with Composite

Fractured anteriors #8 and #9 repaired with composite (before and after) Accidents happen: 10-yr-old fractured his front teeth in apparent fall accident. The patient presented for emergency evaluation of his front teeth. The coronal portion of the tooth fractured in half, but, did not break into the pulp chamber. The teeth were fully erupted and a typical central incisor is 11mm long. His teeth were broken off at an oblique angle leaving only 2mm of tooth remaining on #8 near the midline and 1.5mm of tooth remaining on #9 near the midline. At some point in the future, we may elect to place all-ceramic restorations, e.g. an Obsidian-type crown (lithium silicate,) but, since the patient is young and still very active with sports and athletic recreation, we have elected to place composites on these teeth… Read More »

Bicycle Accident – Dental Implant Replacement Case

X-ray: Patient presents after bicycle accident with fractured teeth. (2/19/18) One tooth was completely avulsed and the others adjacent were fractured in half. The patient was in a bad bicycle accident, which left her severely injured. Her most notable injuries were the fracture of her front teeth. One tooth (a central) came out completely, while the other three anterior teeth were fractured off. It was determined that the other central (think: front middle tooth) would also have to be extracted as the tooth was fractured in the root. The other teeth, the laterals would need crowns to restore them, but, could be saved. So, we proceded to extract and bone socket preservation graft the sites for #8 and #9. NOTE: If you are looking for the blurred out picture from the Instagram video, it can… Read More »