Dr. R. V. Murali

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IIDC 2013

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Dr. R. V. Murali

  1. 1. Aesthetic restoration Central Incisor -Start to finish!Slide No:1 Dr.R.V.Murali poster No:29
  2. 2. Pre- Op • A 24 year old male was referred to the Department with a fractured upper left central incisor (21) subsequent to an injury. • On clinical examination, it was observed that the upper right central incisor had a horizontal fracture at the cervical 1/3rd level with the fracture line extending sub-gingivally on palatal side. Dr.R.V.Murali poster No.29Slide No. 2
  3. 3. • To keep the margin of restoration supragingival, a multidisciplinary approach is necessary for a subgingivally fractured teeth. • In this case, though orthodontic extrusion was the obvious choice, the patient wanted aesthetic treatment for his problem. • Lingual Orthodontics is the only solution for such aesthetically challenging cases.Slide No. 3 Dr.R.V.Murali poster No.29
  4. 4. Composite Following buildup supracrestal fiberotomy procedure gingivectomy was done to contour the gingival line Dr.R.V.Murali poster No.29Slide No. 4
  5. 5. Extrusion as evidenced with IOPA Radiographs, Before & After Extrusion Dr.R.V.Murali poster No.29Slide No. 5
  6. 6. Aesthetic restoration of Central Incisor- Start to finish! Post Treatment with Pre Treatment post & crownSlide No. 6 Dr.R.V.Murali poster No.29
  7. 7. Aesthetic restoration of Central Incisor- Start to finish! Post Treatment with Pre Treatment post & crownSlide No. 6 Dr.R.V.Murali poster No.29

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