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Seeking Immediate Treatment
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| Broken Ends Exposed |
The patient pictured here sustained considerable trauma to his two front teeth (central inscisors) that created clean breaks above the gum tissue without internal cracks, fissures or damage to the tooth roots.
Obtaining treatment quickly prevents contamination of the exposed dentin.
Initial Preparation
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| Jagged Surfaces Leveled and Prepped for Composite Buildup and Posts |
The jagged surfaces of each break are leveled and prepped with special bonding and cementation products that will provide a solid base for creating a build up of composite material for the final restorations selected by the patient.
The goal is to have the greatest amount of surface area available for applying the composite resin.
Inserting the Posts
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| Posts Installed |
The posts are centered and placed on an axis that provides the best occlusal advantage for the new restorations.
Improper angulation poses the risk of creating a lateral force to the overall structure which can cause a treatment failure in the future.
The surfaces of the posts are grooved and textured for creating the best possible adhesion for the new restorations.
Clear Restoration Molds
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| Clear Molds used to form base for restorations |
Clear molds are created to match the shape of restoration desired by the patient. The mold also serves to provide a visual reference for completing the built up base for each restoration.
The final cementation surfaces of the patient's choice of restorative teeth replacements will fit snugly on the built up base for each tooth and also completely encase the posts, with additional cement products.
Material, case study and photos provided by Dr. Richard Winter, Milwaukee WI.
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