This is young 25 yr , pt came one & half year with accidental injury with his front teeth . He came with horizontally broken front two teeth. Pulp tissue of his tooth was not visible , took x ray for checking any root fracture . Roots of both the teeth were intact . He is a student and i explained him my treatment plan . I decided to do composite buildup as it is more conservative treatment and doesnot requires tooth reduction , which is requirement of crown . As pt was young and i felt that i can give him good composite restoration. Pt took his father's consent before proceding treatment. we even discuseed it on phone and finalized te treatment.Did entire treatment in two visit . In first visit i isolated tooth , and gave light cure GIC base on dentinal surface from where pulp tissue was very close as i was able to see redness of it through thin dentinal surface and buildup rest of tooth structure. This procedure requires more time as it is done inside pt's mouth and requires patience from pt as well as from Dentist side. Then and only then it is possible to give best results to patient.
I called the patient for next sitting after 24 hours and did polishing of restoration to give life like appearance to tooth.
After such treatments we call pt after 6 month for follow up , to observe any changes inside bone because of accidental injury to nerve and blood vessels inside root canals.Pt didn't came so we call the pt after 1 & 1/2 yr for follow up x ray. His restoration is in sound position and no sign of damage to pulp tissue i x ray . Pt is happy with his appearance and with restoration done.
Dr Yogesh Pandit
To make people aware about dentistry ,new technology different treatment modalities.To share views about dentistry