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David Wilson – Comprehensive Treatment of Upper Left Central Incisor with Dental Abscess and Crown Lengthening

By October 4, 2023November 7th, 2023Case Studies

Comprehensive Treatment of Upper Left Central Incisor with Dental Abscess and Crown Lengthening

Case Presentation:

Comprehensive Treatment of Upper Left Central Incisor with Dental Abscess and Crown Lengthening

Patient Information:

  • Name: David Wilson
  • Age: 42 years
  • Gender: Male
  • Referring Source: Self-referred

Chief Complaint:

David Wilson presented with a chief complaint of dissatisfaction with the appearance of his upper left central incisor (UL1) crown, which hung lower than the adjacent teeth. Additionally, he reported pain and swelling in the same tooth and was diagnosed with a dental abscess. David also expressed concern about the uneven gumline in the upper anterior region.

Medical and Dental History:

David’s medical history was unremarkable, with no known allergies or systemic conditions. He had a history of regular dental check-ups but reported no previous extensive dental work.

Clinical Examination:

Intraoral examination revealed an infected and discolored UL1 crown with an uneven gumline. The clinical findings were consistent with a dental abscess involving the UL1. The adjacent teeth appeared healthy, with no significant abnormalities.

Treatment Plan:

A comprehensive treatment plan was devised to address David’s concerns and restore the function and aesthetics of the UL1. The plan involved multiple phases:

  • Root Canal Treatment (RCT): The first phase focused on managing the dental abscess and treating the infection. The root canal procedure was carried out over several appointments to ensure thorough disinfection and complete healing. A metal post was placed within the canal to provide stability.
  • Temporary Crown: A temporary crown was fabricated and placed on the UL1 to provide protection and aesthetic improvement between RCT appointments.
  • Crown Lengthening and Gum Contouring: Once the infection was resolved, crown lengthening and gum contouring were performed to harmonize the gumline and create a more symmetrical appearance.
  • Composite Core Build-Up: With the tooth structure reinforced by the metal post, a composite core build-up was performed to create a stable foundation for the new crown.
  • Preparation for New Crown: The tooth was prepared to receive a new crown. Impressions were taken to create an accurate mold for the fabrication of the crown.
  • Fitting of New Crown: The final phase involved the placement of a new crown on the UL1. The crown was carefully crafted to match the color, shape, and contours of the adjacent upper right central incisor (UR1) crown.

Materials Used:

  • Metal post for stabilization
  • Composite material for core build-up
  • Dental crown material to match adjacent UR1

Treatment Timeline:

  • Initial Consultation and Diagnosis: [Date]
  • RCT and Temporary Crown: [Multiple Appointments]
  • Crown Lengthening and Gum Contouring: [Date]
  • Composite Core Build-Up: [Date]
  • Crown Preparation and Fitting: [Date]

Post-Operative Care:

David was provided with post-operative care instructions, including oral hygiene guidelines, dietary recommendations, and follow-up appointments for monitoring the success of the treatment and the stability of the crown.

Outcome and Conclusion:

The comprehensive treatment approach, involving root canal treatment, crown lengthening, gum contouring, and crown placement, resulted in the successful restoration of David Wilson’s upper left central incisor. The new crown not only resolved the infection but also improved the aesthetics and function of the tooth, creating a harmonious smile that matched the adjacent UR1. This case highlights the importance of a multidisciplinary approach and meticulous planning to achieve optimal outcomes in both oral health and aesthetics. David’s satisfaction and improved quality of life exemplify the positive impact of comprehensive dental care.

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