Esthetic and functional management of an ankylosed central incisor with a conservative restorative approach

Andre V. Ritter, Leonardo Fernandes Cunha, Gisele M. Correr

Research output: Contribution to journalArticlepeer-review

Abstract

In this case report, we share a conservative and simple restorative management approach for a relatively complex esthetic situation on an adult patient with an ankylosed maxillary central incisor in infra-occlusion. A 37-year-old healthy female patient presented for a consultation with a chief complaint of an unappealing smile. The intraoral exam revealed tooth #8 (FDI 11) was in obvious and significant infra-occlusion due to altered eruption. Periapical radiographs of this area were non-contributory and all teeth responded within normal limits to pulp vitality tests. After review of several treatment options, the patient opted for a conservative restorative approach in which a partial ceramic veneer was planned for the ankylosed tooth, while composite resin was used on the contralateral central incisor to achieve a symmetric and pleasant result. Clinical Significance: A relatively complex clinical problem was satisfactorily resolved with a very conservative option in which composite resin and a ceramic veneer were used to restore an asymmetric smile.

Original languageEnglish (US)
Pages (from-to)269-274
Number of pages6
JournalJournal of Esthetic and Restorative Dentistry
Volume30
Issue number4
DOIs
StatePublished - Jul 1 2018

Keywords

  • ankylosis
  • ceramic veneer
  • esthetic dentistry

ASJC Scopus subject areas

  • Dentistry(all)

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