Clinical case-stidies: Restoring a lower right lateral on an elderly patient By Dr J Van Rensburg
Solving a problematic tooth fracture on an elderly patient
Patient
Male, 86
Case history
An elderly patient (86) visited the practice with a fractured lower right lateral. The tooth broke off at ‘gum-level’. The patient was very conscious about this situation but because of his age he was not interested in extensive dental treatment like implantology or Crown and Bridge work. All treatment options were discussed with the patient and the patient requested us to restore the lower right lateral with a fibre-reinforced composite restoration. The patient was very pleased with the fact that the whole procedure could be completed in one session. A peri-apical x-ray showed a root with no pathology and it was decided to build up the tooth onto the existing root of the lower right lateral.
Treatment
An everStick® Perio fibre was bonded from the lower right 3 to the lower right one to reinforce the huge composite build up. An extra piece of everStick® Perio fibre bonded more to the incisal edge between the canine and central was added for more reinforcement (not on picture). The tooth was then restored with composite using Z100 from 3M ESPE (universal dentine and Shade A3). The whole procedure took one hour and the patient left the surgery very content with a restored smile. This restoration was done in February 2006 and continues to be stable in the mouth after four years.
Fractured tooth - problematic
The fibre reinforcement
End Result
I year follow up
