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Case

Clinical Photos

Illustrations / Diagrams

Total Luxation of Teeth Following Traumatic Injury

Loss of Tooth #9 Caused by Trauma - Loss of Tooth #9 Caused by Trauma

Loss of Tooth #9 Caused by Trauma - Loss of Tooth #9 Caused by Trauma Contributed by Jean-Paul Schatz, DMD on 3/27/2012

Loss of Tooth #9 Caused by Trauma<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Preoperative facial view exhibits traumatic loss of tooth #9(21).</span>

Figure 1 - Preoperative facial view exhibits traumatic loss of tooth #9(21).

Loss of Tooth #9 Caused by Trauma<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Facial view of the reimplanted exarticulated incisor upon enamel etching.</span>

Figure 2 - Facial view of the reimplanted exarticulated incisor upon enamel etching.

Loss of Tooth #9 Caused by Trauma<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> The affected central incisor is splinted for 1 week with an orthodontic appliance.</span>

Figure 3 - The affected central incisor is splinted for 1 week with an orthodontic appliance.

Loss of Tooth #9 Caused by Trauma<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Three-month postoperative radiograph of the treated central incisor.</span>

Figure 4 - Three-month postoperative radiograph of the treated central incisor.

Extrusive Luxation of Teeth Attributed to Trauma

Extrusive Luxation of Teeth #9 and #10 Due to Trauma - Extrusive Luxation of Teeth #9 and #10 Due to Trauma

Extrusive Luxation of Teeth #9 and #10 Due to Trauma - Extrusive Luxation of Teeth #9 and #10 Due to Trauma Contributed by Jean-Paul Schatz, DMD on 3/27/2012

Extrusive Luxation of Teeth #9 and #10 Due to Trauma<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Preoperative facial view demonstrates extrusive luxation of teeth #9(21) and #10(22).</span>

Figure 1 - Preoperative facial view demonstrates extrusive luxation of teeth #9(21) and #10(22).

Extrusive Luxation of Teeth #9 and #10 Due to Trauma<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Orthodontic appliances were utilized to splint the maxillary incisors prior to repositioning.</span>

Figure 2 - Orthodontic appliances were utilized to splint the maxillary incisors prior to repositioning.

Extrusive Luxation of Teeth #9 and #10 Due to Trauma<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> The traumatized maxillary incisors were positioned for a period of 2 weeks.</span>

Figure 3 - The traumatized maxillary incisors were positioned for a period of 2 weeks.

Lateral Luxation of Teeth as Caused by Trauma

Lateral Luxation and Fracture of the Alveolar Plate - Lateral Luxation and Fracture of the Alveolar Plate

Lateral Luxation and Fracture of the Alveolar Plate - Lateral Luxation and Fracture of the Alveolar Plate Contributed by Jean-Paul Schatz, DMD on 3/27/2012

$Lateral Luxation and Fracture of the Alveolar Plate Figure 1. Preoperative view exhibits the extent of lateral luxation and fracture of the alveolar plate.$ Figure 1 - Preoperative view exhibits the extent of lateral luxation and fracture of the alveolar plate.

Figure 1 - Preoperative view exhibits the extent of lateral luxation and fracture of the alveolar plate.

Lateral Luxation and Fracture of the Alveolar Plate<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Facial view of the affected site following stabilization with periodontology surgery.</span>

Figure 2 - Facial view of the affected site following stabilization with periodontology surgery.

Lateral Luxation and Fracture of the Alveolar Plate<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> The maxillary dentition were splinted with orthodontic appliances for a 6-week period.</span>

Figure 3 - The maxillary dentition were splinted with orthodontic appliances for a 6-week period.

Lateral Luxation and Fracture of the Alveolar Plate<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> One-month radiographic view of the maxillary dentition.</span>

Figure 4 - One-month radiographic view of the maxillary dentition.

Lateral Luxation and Fracture of the Alveolar Plate<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Postoperative facial view of the maxillary incisors 4.4 years post-trauma.</span>

Figure 5 - Postoperative facial view of the maxillary incisors 4.4 years post-trauma.

Lateral Luxation and Fracture of the Alveolar Plate<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> Radiographic appearance of the maxillary arch 4.4 years following trauma. Note the complete pulp obliteration of the luxated teeth.</span>

Figure 6 - Radiographic appearance of the maxillary arch 4.4 years following trauma. Note the complete pulp obliteration of the luxated...

Figure 6 - Radiographic appearance of the maxillary arch 4.4 years following trauma. Note the complete pulp obliteration of the luxated teeth.

Intrusive Luxation of Teeth as Caused by Trauma

Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption - Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption

Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption - Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption Contributed by Jean-Paul Schatz, DMD on 3/27/2012

Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Facial view demonstrates traumatic intrusion of tooth #8(11) preoperatively.</span>

Figure 1 - Facial view demonstrates traumatic intrusion of tooth #8(11) preoperatively.

Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Facial view of complete spontaneous re-eruption at 6 months post-trauma</span>

Figure 2 - Facial view of complete spontaneous re-eruption at 6 months post-trauma

Intrusive Luxation of Tooth #8 and Subsequent Re-Eruption<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> 3A. Preoperative radiographic view of intruded tooth #8(11). 3B. Radiographic view exhibits arrested of root formation following trauma.</span>

Figure 3 - 3A. Preoperative radiographic view of intruded tooth #8(11). 3B. Radiographic view exhibits arrested of root formation follo...

Figure 3 - 3A. Preoperative radiographic view of intruded tooth #8(11). 3B. Radiographic view exhibits arrested of root formation following trauma.

Orthodontics in Prosthetic Dentistry

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption - Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption - Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption Contributed by Frank Celenza, DDS on 6/19/2012

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Preoperative view of the four-unit provisional restoration (#10 through #13) with a cantilevered pontic and 3 abutments. A deep periodontal pocket was noted on the mesial surface of the first premolar.</span>

Figure 1 - Preoperative view of the four-unit provisional restoration (#10 through #13) with a cantilevered pontic and 3 abutments. A d...

Figure 1 - Preoperative view of the four-unit provisional restoration (#10 through #13) with a cantilevered pontic and 3 abutments. A deep periodontal pocket was noted on the mesial surface of the first premolar.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> A post and core was fabricated for the first premolar and featured a mesiodistal hole that allowed elastic cord insertion and traction.</span>

Figure 2 - A post and core was fabricated for the first premolar and featured a mesiodistal hole that allowed elastic cord insertion an...

Figure 2 - A post and core was fabricated for the first premolar and featured a mesiodistal hole that allowed elastic cord insertion and traction.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> Lingual view of the modified provisional restoration. Tooth eruption into the fixed partial denture was facilitated with an orthodontic cord.</span>

Figure 3 - Lingual view of the modified provisional restoration. Tooth eruption into the fixed partial denture was facilitated with an...

Figure 3 - Lingual view of the modified provisional restoration. Tooth eruption into the fixed partial denture was facilitated with an orthodontic cord.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> The activated appliance is virtually indistinguishable from the buccal perspective.</span>

Figure 4 - The activated appliance is virtually indistinguishable from the buccal perspective.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Periapical radiograph of the maxillary site prior to the initiation of forced eruption.</span>

Figure 5 - Periapical radiograph of the maxillary site prior to the initiation of forced eruption.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> Radiograph following 2 months of forced eruption. Note the modified position of the first premolar tooth.</span>

Figure 6 - Radiograph following 2 months of forced eruption. Note the modified position of the first premolar tooth.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> The conservative flap design is limited surgical invasion of the area that surrounds the compromised tooth and subsequently maintained optimal aesthetics.</span>

Figure 7 - The conservative flap design is limited surgical invasion of the area that surrounds the compromised tooth and subsequently...

Figure 7 - The conservative flap design is limited surgical invasion of the area that surrounds the compromised tooth and subsequently maintained optimal aesthetics.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 8. <span style='font-size: 16px; font-weight: normal'> Occlusal view during healing exhibits the perforation, which is now positioned supragingivally.</span>

Figure 8 - Occlusal view during healing exhibits the perforation, which is now positioned supragingivally.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 9. <span style='font-size: 16px; font-weight: normal'> Postoperative radiograph demonstrates successful coverage of the perforation with respect to the biologic width.</span>

Figure 9 - Postoperative radiograph demonstrates successful coverage of the perforation with respect to the biologic width.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 10. <span style='font-size: 16px; font-weight: normal'> Postoperative retractive view demonstrates healthy gingival tissues and lack of root exposure.</span>

Figure 10 - Postoperative retractive view demonstrates healthy gingival tissues and lack of root exposure.

Using a Fixed Provisional as an Orthodontic Anchor in Forced Eruption<br/> Figure 11. <span style='font-size: 16px; font-weight: normal'> A high smile line and aesthetic preservation of the papillary tissue and confluent free gingival margins were evident 11 years following treatment.</span>

Figure 11 - A high smile line and aesthetic preservation of the papillary tissue and confluent free gingival margins were evident 11 ye...

Figure 11 - A high smile line and aesthetic preservation of the papillary tissue and confluent free gingival margins were evident 11 years following treatment.

Full-Mouth Rehabilitation of Severe Periodontal Compromise - Orthodontic extrusion and implant treatment in the full-mouth rehabilitation of a pe...

Full-Mouth Rehabilitation of Severe Periodontal Compromise - Orthodontic extrusion and implant treatment in the full-mouth rehabilitation of a periodontally compromised patient Contributed by Rowan Buskin, BDS, MSc on 8/9/2012

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Preoperative facial view of anterior teeth demonstrates loss of crowns for teeth #7(12) and #10(22).</span>

Figure 1 - Preoperative facial view of anterior teeth demonstrates loss of crowns for teeth #7(12) and #10(22).

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Occlusal view of orthodontic extrusion of lateral incisors utilizing the maxillary provisional restorations for anchorage and intraoral posts and elastic bands for tooth movement.</span>

Figure 2 - Occlusal view of orthodontic extrusion of lateral incisors utilizing the maxillary provisional restorations for anchorage an...

Figure 2 - Occlusal view of orthodontic extrusion of lateral incisors utilizing the maxillary provisional restorations for anchorage and intraoral posts and elastic bands for tooth movement.

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> Facial view demonstrates orthodontic movement of teeth #7(12) and #10(22). Note the immaturaity of the crestal tissues.</span>

Figure 3 - Facial view demonstrates orthodontic movement of teeth #7(12) and #10(22). Note the immaturaity of the crestal tissues.

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> 4A. Radiograph indicates the movement of tooth #7(12). This tooth will be retained in the subsequent restoration phase. 4B. Radiograph verifies movement of tooth #10(22).</span>

Figure 4 - 4A. Radiograph indicates the movement of tooth #7(12). This tooth will be retained in the subsequent restoration phase. 4B....

Figure 4 - 4A. Radiograph indicates the movement of tooth #7(12). This tooth will be retained in the subsequent restoration phase. 4B. Radiograph verifies movement of tooth #10(22).

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Tooth #7(12) is luted to the adjacent provisional crown restorations to achieve stabilization.</span>

Figure 5 - Tooth #7(12) is luted to the adjacent provisional crown restorations to achieve stabilization.

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> Tooth #10(22) is extracted and immediately replaced with an endosseous implant.</span>

Figure 6 - Tooth #10(22) is extracted and immediately replaced with an endosseous implant.

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> Prepared anterior maxillary teeth demonstrate the use of a post/core to replace tooth #7(12) and an implant and customized abutment to restore tooth #10(22).</span>

Figure 7 - Prepared anterior maxillary teeth demonstrate the use of a post/core to replace tooth #7(12) and an implant and customized a...

Figure 7 - Prepared anterior maxillary teeth demonstrate the use of a post/core to replace tooth #7(12) and an implant and customized abutment to restore tooth #10(22).

Full-Mouth Rehabilitation of Severe Periodontal Compromise<br/> Figure 8. <span style='font-size: 16px; font-weight: normal'> Postoperative anterior view of the definitive full-coverage restorations. Note the harmonious appearance of the restorations with the gingival architecture.</span>

Figure 8 - Postoperative anterior view of the definitive full-coverage restorations. Note the harmonious appearance of the restorations...

Figure 8 - Postoperative anterior view of the definitive full-coverage restorations. Note the harmonious appearance of the restorations with the gingival architecture.

Orthodontic Extrusion and Implant Placement for Tooth #10 - Orthodontic extrusion, extraction, and placement of an implant-supported restoration

Orthodontic Extrusion and Implant Placement for Tooth #10 - Orthodontic extrusion, extraction, and placement of an implant-supported restoration Contributed by Rowan Buskin, BDS, MSc on 8/9/2012

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Preoperative facial view demonstrates aesthetic compromise and gingival inflammation that surrounds tooth #10(22).</span>

Figure 1 - Preoperative facial view demonstrates aesthetic compromise and gingival inflammation that surrounds tooth #10(22).

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Radiograph depicts root and post position at the commencement of orthodontic movement.</span>

Figure 2 - Radiograph depicts root and post position at the commencement of orthodontic movement.

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> The adjacent maxillary teeth are utilized for orthodontic anchorage.</span>

Figure 3 - The adjacent maxillary teeth are utilized for orthodontic anchorage.

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Buccal view of extrusion of tooth #10(22) exhibits little soft tissue alteration accompanying tooth movement. Note the maturation of the crestal gingiva.</span>

Figure 4 - Buccal view of extrusion of tooth #10(22) exhibits little soft tissue alteration accompanying tooth movement. Note the matur...

Figure 4 - Buccal view of extrusion of tooth #10(22) exhibits little soft tissue alteration accompanying tooth movement. Note the maturation of the crestal gingiva.

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Radiograph demonstrates the extent of the orthodontic movement.</span>

Figure 5 - Radiograph demonstrates the extent of the orthodontic movement.

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> Occlusal view of the extraction and immediate implant placement following elevation of a mucoperiosteal flap.</span>

Figure 6 - Occlusal view of the extraction and immediate implant placement following elevation of a mucoperiosteal flap.

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> The profile of the gingival tissue is developed by provisional crown restoration.</span>

Figure 7 - The profile of the gingival tissue is developed by provisional crown restoration.

Orthodontic Extrusion and Implant Placement for Tooth #10<br/> Figure 8. <span style='font-size: 16px; font-weight: normal'> The definitive implant-supported full-coverage crown restorations is virtually indistinguishable from the adjacent teeth.</span>

Figure 8 - The definitive implant-supported full-coverage crown restorations is virtually indistinguishable from the adjacent teeth.

The Role of Diode Lasers in Orthodontic Therapy

Soft Tissue Management Prior to Bracket Placement - Soft Tissue Management Prior to Bracket Placement

Soft Tissue Management Prior to Bracket Placement - Soft Tissue Management Prior to Bracket Placement Contributed by David M. Sarver, DMD, MS on 7/16/2012

Soft Tissue Management Prior to Bracket Placement<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> This 12-year-old patient illustrates how soft tissue management prior to bracket placement can facilitate the goals of the orthodontist in smile design.</span>

Figure 1 - This 12-year-old patient illustrates how soft tissue management prior to bracket placement can facilitate the goals of the o...

Figure 1 - This 12-year-old patient illustrates how soft tissue management prior to bracket placement can facilitate the goals of the orthodontist in smile design.

Soft Tissue Management Prior to Bracket Placement<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Due to the gingival encroachment, the orthodontic bracket must be placed well below the center of the tooth, resulting in incisor intrusion and further decreasing incisor display.</span>

Figure 2 - Due to the gingival encroachment, the orthodontic bracket must be placed well below the center of the tooth, resulting in in...

Figure 2 - Due to the gingival encroachment, the orthodontic bracket must be placed well below the center of the tooth, resulting in incisor intrusion and further decreasing incisor display.

Soft Tissue Management Prior to Bracket Placement<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> After periodontal probing, it was determined that sufficient tooth height could be gained to place the bracket more superiorly, resulting in a favorable outcome.</span>

Figure 3 - After periodontal probing, it was determined that sufficient tooth height could be gained to place the bracket more superior...

Figure 3 - After periodontal probing, it was determined that sufficient tooth height could be gained to place the bracket more superiorly, resulting in a favorable outcome.

Soft Tissue Management Prior to Bracket Placement<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> At the appointment for orthodontic appliance placement, anterior crown height of the central incisors was increased to more than 10 mm.</span>

Figure 4 - At the appointment for orthodontic appliance placement, anterior crown height of the central incisors was increased to more...

Figure 4 - At the appointment for orthodontic appliance placement, anterior crown height of the central incisors was increased to more than 10 mm.

Soft Tissue Management Prior to Bracket Placement<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Because of the clear field provided by the biodressing, brackets could be placed in the desired position in a single visit.</span>

Figure 5 - Because of the clear field provided by the biodressing, brackets could be placed in the desired position in a single visit.

Maintaining Appropriate Crown Width and Height After Orthodontic Treatment - Maintaining Appropriate Crown Width and Height After Orthodontic Tre...

Maintaining Appropriate Crown Width and Height After Orthodontic Treatment - Maintaining Appropriate Crown Width and Height After Orthodontic Treatment Contributed by David M. Sarver, DMD, MS on 7/16/2012

Maintaining Appropriate Crown Width and Height After Orthodontic Treatment<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> This patients maxillary lateral incisors were disproportionate in terms of width and height; the gingival margins also required management with the laser.</span>

Figure 1 - This patient's maxillary lateral incisors were disproportionate in terms of width and height; the gingival margins also requ...

Figure 1 - This patient's maxillary lateral incisors were disproportionate in terms of width and height; the gingival margins also required management with the laser.

Maintaining Appropriate Crown Width and Height After Orthodontic Treatment<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> The diode laser was used to lengthen the lateral incisors. The brackets were then removed and re-bonded, extruding the anterior teeth to more closely match the smile arc.</span>

Figure 2 - The diode laser was used to lengthen the lateral incisors. The brackets were then removed and re-bonded, extruding the anter...

Figure 2 - The diode laser was used to lengthen the lateral incisors. The brackets were then removed and re-bonded, extruding the anterior teeth to more closely match the smile arc.

Maintaining Appropriate Crown Width and Height After Orthodontic Treatment<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> The lateral incisors were lengthened to meet the proportionality requirements of the anterior teeth; brackets were placed to finish the anterior tooth position.</span>

Figure 3 - The lateral incisors were lengthened to meet the proportionality requirements of the anterior teeth; brackets were placed to...

Figure 3 - The lateral incisors were lengthened to meet the proportionality requirements of the anterior teeth; brackets were placed to finish the anterior tooth position.

Maintaining Appropriate Crown Width and Height After Orthodontic Treatment<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> The final smile was greatly improved, the smile arc was idealized, and tooth proportion was now aesthetic.</span>

Figure 4 - The final smile was greatly improved, the smile arc was idealized, and tooth proportion was now aesthetic.

Management of Altered Tooth Eruption During Orthodontic Therapy - Management of Altered Tooth Eruption During Orthodontic Therapy

Management of Altered Tooth Eruption During Orthodontic Therapy - Management of Altered Tooth Eruption During Orthodontic Therapy Contributed by David M. Sarver, DMD, MS on 7/16/2012

Management of Altered Tooth Eruption During Orthodontic Therapy<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Orthodontic treatment can be impeded by altered tooth eruption. Management of treatment can be facilitated by tissue modification with the diode laser.</span>

Figure 1 - Orthodontic treatment can be impeded by altered tooth eruption. Management of treatment can be facilitated by tissue modific...

Figure 1 - Orthodontic treatment can be impeded by altered tooth eruption. Management of treatment can be facilitated by tissue modification with the diode laser.

Management of Altered Tooth Eruption During Orthodontic Therapy<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> A small window was opened in attached gingival tissue. Note the clean margins and the availability of the tooth surface for preparation and bonding of a bracket.</span>

Figure 2 - A small window was opened in attached gingival tissue. Note the clean margins and the availability of the tooth surface for...

Figure 2 - A small window was opened in attached gingival tissue. Note the clean margins and the availability of the tooth surface for preparation and bonding of a bracket.

Management of Altered Tooth Eruption During Orthodontic Therapy<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> A bracket was bonded to the canine surface and the archwire was engaged.</span>

Figure 3 - A bracket was bonded to the canine surface and the archwire was engaged.

Management of Altered Tooth Eruption During Orthodontic Therapy<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> At 6 weeks, the canine had moved enough to reset the bracket more ideally.</span>

Figure 4 - At 6 weeks, the canine had moved enough to reset the bracket more ideally.

Management of Altered Tooth Eruption During Orthodontic Therapy<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> After an additional 6 weeks, the canine tooth had been moved into its final position for the case to be finished.</span>

Figure 5 - After an additional 6 weeks, the canine tooth had been moved into its final position for the case to be finished.

Hard and Soft Tissue Management for the Restoration of Traumatized Anterior Teeth

Restoring a Coronal Fracture of the Maxillary Right Central Incisor - Forced extrusion and pre-prosthetic management of coronally fractured tooth...

Restoring a Coronal Fracture of the Maxillary Right Central Incisor - Forced extrusion and pre-prosthetic management of coronally fractured tooth #8 Contributed by Samuele Valerio, MD, DDS on 8/9/2012

$Restoring a Coronal Fracture of the Maxillary Right Central Incisor Figure 1. Facial view of coronal fracture on tooth #8(11) with invasive margins evident in the vicinity of the alveolar ridge.$ Figure 1 - Facial view of coronal fracture on tooth #8(11) with invasive margins evident in the vicinity of the alveolar ridge.

Figure 1 - Facial view of coronal fracture on tooth #8(11) with invasive margins evident in the vicinity of the alveolar ridge.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> 2A. Radiograph of an endodontic lesion following trauma 2B. Apexification is induced with calcium hydroxide 2C. Radiograph following completion of endodontic therapy.</span>

Figure 2 - 2A. Radiograph of an endodontic lesion following trauma 2B. Apexification is induced with calcium hydroxide 2C. Radiograph f...

Figure 2 - 2A. Radiograph of an endodontic lesion following trauma 2B. Apexification is induced with calcium hydroxide 2C. Radiograph following completion of endodontic therapy.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> To protect the exposed root surface, an endodontic post was placed in the canal. A provisional restoration would be used to facilitate orthodontic extrusion.</span>

Figure 3 - To protect the exposed root surface, an endodontic post was placed in the canal. A provisional restoration would be used to...

Figure 3 - To protect the exposed root surface, an endodontic post was placed in the canal. A provisional restoration would be used to facilitate orthodontic extrusion.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Facial view of extrusive therapy following 1 week of treatment.</span>

Figure 4 - Facial view of extrusive therapy following 1 week of treatment.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Extrusive therapy of the right central incisor following 3 weeks of treatment.</span>

Figure 5 - Extrusive therapy of the right central incisor following 3 weeks of treatment.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> Following 5 weeks of extrusive therapy, the gingival margin had moved coronoapically.</span>

Figure 6 - Following 5 weeks of extrusive therapy, the gingival margin had moved coronoapically.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> The periodontal fibers were circumferentially resected at the conclusion or orthodontic extrusion.</span>

Figure 7 - The periodontal fibers were circumferentially resected at the conclusion or orthodontic extrusion.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 8. <span style='font-size: 16px; font-weight: normal'> Facial view of the provisional restorations used for postorthodontic maintenance and conditioning of the marginal tissues.</span>

Figure 8 - Facial view of the provisional restorations used for postorthodontic maintenance and conditioning of the marginal tissues.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 9. <span style='font-size: 16px; font-weight: normal'> Occlusal view of the prepared teeth following the provisionalization stage.</span>

Figure 9 - Occlusal view of the prepared teeth following the provisionalization stage.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 10. <span style='font-size: 16px; font-weight: normal'> Facial view of the definitive full-coverage crown restorations, which were seated with a glass-ionomer cement.</span>

Figure 10 - Facial view of the definitive full-coverage crown restorations, which were seated with a glass-ionomer cement.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 11. <span style='font-size: 16px; font-weight: normal'> Postoperative radiograph indicates the balance between the restorations and the underlying supporting tissues.</span>

Figure 11 - Postoperative radiograph indicates the balance between the restorations and the underlying supporting tissues.

Restoring a Coronal Fracture of the Maxillary Right Central Incisor<br/> Figure 12. <span style='font-size: 16px; font-weight: normal'> Three-year postoperative view of the definitive restorations. Note the optimum emergence profile and the harmonious gingival contour.</span>

Figure 12 - Three-year postoperative view of the definitive restorations. Note the optimum emergence profile and the harmonious gingiva...

Figure 12 - Three-year postoperative view of the definitive restorations. Note the optimum emergence profile and the harmonious gingival contour.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor - Orthodontic stabilization and pre-prosthetic management of dilacerated tooth...

Restoring a Coronal Fracture of the Maxillary Left Central Incisor - Orthodontic stabilization and pre-prosthetic management of dilacerated tooth #9 Contributed by Samuele Valerio, MD, DDS on 8/9/2012

$Restoring a Coronal Fracture of the Maxillary Left Central Incisor Figure 1. Preoperative view of patient demonstrates coronal fracture of tooth #9(21) and structural malformation following dilaceration.$ Figure 1 - Preoperative view of patient demonstrates coronal fracture of tooth #9(21) and structural malformation following dilaceratio...

Figure 1 - Preoperative view of patient demonstrates coronal fracture of tooth #9(21) and structural malformation following dilaceration.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Orthodontic stabilization was achieved following extrusion without cutting of the fibers.</span>

Figure 2 - Orthodontic stabilization was achieved following extrusion without cutting of the fibers.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> After 4 months of orthodontic therapy, bone formation was observed at the cementoenamel junction of the extruded tooth.</span>

Figure 3 - After 4 months of orthodontic therapy, bone formation was observed at the cementoenamel junction of the extruded tooth.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> Recovery of bone morphology symmetric to adjacent central incisor. Volumetric difference was evident between the two roots.</span>

Figure 4 - Recovery of bone morphology symmetric to adjacent central incisor. Volumetric difference was evident between the two roots.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> 5A. Facial view of the prepared tooth. 5B. The fit of the coping was verified prior to the fabrication of the definitive restoration.</span>

Figure 5 - 5A. Facial view of the prepared tooth. 5B. The fit of the coping was verified prior to the fabrication of the definitive res...

Figure 5 - 5A. Facial view of the prepared tooth. 5B. The fit of the coping was verified prior to the fabrication of the definitive restoration.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> The provisional crown was fabricated of composite resin to permit any morphological corrections.</span>

Figure 6 - The provisional crown was fabricated of composite resin to permit any morphological corrections.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> A compound was added to or removed from the crown as necessary.</span>

Figure 7 - A compound was added to or removed from the crown as necessary.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 8. <span style='font-size: 16px; font-weight: normal'> The emergence profile of the provisional restoration was modified to match that of the contralateral tooth.</span>

Figure 8 - The emergence profile of the provisional restoration was modified to match that of the contralateral tooth.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 9. <span style='font-size: 16px; font-weight: normal'> Occlusal view of the impression used to record the position of the cemented crown restoration.</span>

Figure 9 - Occlusal view of the impression used to record the position of the cemented crown restoration.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 10. <span style='font-size: 16px; font-weight: normal'> A model that replicated the modified position of the tissues was poured to permit the fabrication of the definitive ceramic restoration.</span>

Figure 10 - A model that replicated the modified position of the tissues was poured to permit the fabrication of the definitive ceramic...

Figure 10 - A model that replicated the modified position of the tissues was poured to permit the fabrication of the definitive ceramic restoration.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 11. <span style='font-size: 16px; font-weight: normal'> For a natural emergence profile, it should be varied not at the gingival margin but a minimum of 1 mm coronally.</span>

Figure 11 - For a natural emergence profile, it should be varied not at the gingival margin but a minimum of 1 mm coronally.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 12. <span style='font-size: 16px; font-weight: normal'> 12A. Preoperative radiograph of the site. 12B. Postoperative radiograph of the restored site. Note the extent of the extrusive movement.</span>

Figure 12 - 12A. Preoperative radiograph of the site. 12B. Postoperative radiograph of the restored site. Note the extent of the extrus...

Figure 12 - 12A. Preoperative radiograph of the site. 12B. Postoperative radiograph of the restored site. Note the extent of the extrusive movement.

Restoring a Coronal Fracture of the Maxillary Left Central Incisor<br/> Figure 13. <span style='font-size: 16px; font-weight: normal'> Postoperative facial view of the definitive full-coverage crown restoration, which is virtually indistinguishable from the adjacent central incisor.</span>

Figure 13 - Postoperative facial view of the definitive full-coverage crown restoration, which is virtually indistinguishable from the...

Figure 13 - Postoperative facial view of the definitive full-coverage crown restoration, which is virtually indistinguishable from the adjacent central incisor.

Digital Impression Making in Prosthetic Rehabilitations

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment - Aesthetic enhancement following completion of orthodontic therapy for c...

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment - Aesthetic enhancement following completion of orthodontic therapy for crowding, overbite, overjet, and edge-to-edge bite. Contributed by Steven Glassman, DDS on 11/14/2012

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 1. <span style='font-size: 16px; font-weight: normal'> Preoperative facial view demonstrating a lack of occlusal harmony and aesthetics.</span>

Figure 1 - Preoperative facial view demonstrating a lack of occlusal harmony and aesthetics.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 2. <span style='font-size: 16px; font-weight: normal'> Preoperative view of the patient, who had his premolars removed years prior during adolescent orthodontics.</span>

Figure 2 - Preoperative view of the patient, who had his premolars removed years prior during adolescent orthodontics.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 3. <span style='font-size: 16px; font-weight: normal'> View of the patients dentition following the completion of orthodontic treatment to relieve crowding of the mandibular incisors.</span>

Figure 3 - View of the patient's dentition following the completion of orthodontic treatment to relieve crowding of the mandibular inci...

Figure 3 - View of the patient's dentition following the completion of orthodontic treatment to relieve crowding of the mandibular incisors.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 4. <span style='font-size: 16px; font-weight: normal'> A diagnostic waxup was created from mounted casts and would enable the fabrication of a putty matrix for chairside tooth reduction.</span>

Figure 4 - A diagnostic waxup was created from mounted casts and would enable the fabrication of a putty matrix for chairside tooth red...

Figure 4 - A diagnostic waxup was created from mounted casts and would enable the fabrication of a putty matrix for chairside tooth reduction.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 5. <span style='font-size: 16px; font-weight: normal'> Prepared model in the dental laboratory indicating the amount of tooth reduction that would be necessary for the pending maxillary restorations.</span>

Figure 5 - Prepared model in the dental laboratory indicating the amount of tooth reduction that would be necessary for the pending max...

Figure 5 - Prepared model in the dental laboratory indicating the amount of tooth reduction that would be necessary for the pending maxillary restorations.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 6. <span style='font-size: 16px; font-weight: normal'> A reduction matrix was created from the diagnostic waxup and would be used chairside to guide tooth preparation.</span>

Figure 6 - A reduction matrix was created from the diagnostic waxup and would be used chairside to guide tooth preparation.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 7. <span style='font-size: 16px; font-weight: normal'> Clinical application of the tooth reduction guide to ensure sufficient space would exist for the zirconia full-coverage crown restorations.</span>

Figure 7 - Clinical application of the tooth reduction guide to ensure sufficient space would exist for the zirconia full-coverage crow...

Figure 7 - Clinical application of the tooth reduction guide to ensure sufficient space would exist for the zirconia full-coverage crown restorations.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 8. <span style='font-size: 16px; font-weight: normal'> Facial view of the prepared dentition following the insertion of the gingival retraction cord.</span>

Figure 8 - Facial view of the prepared dentition following the insertion of the gingival retraction cord.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 9. <span style='font-size: 16px; font-weight: normal'> View of the digital impression chairside enabled immediate verification of the preparation design.</span>

Figure 9 - View of the digital impression chairside enabled immediate verification of the preparation design.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 10. <span style='font-size: 16px; font-weight: normal'> The digital impression would be used to create polyurethane models on which the ceramic restorations would be fabricated.</span>

Figure 10 - The digital impression would be used to create polyurethane models on which the ceramic restorations would be fabricated.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 11. <span style='font-size: 16px; font-weight: normal'> The provisionalization phase enabled the patient to evaluate aesthetics, function, and phonetics while the definitive restorations were fabricated.</span>

Figure 11 - The provisionalization phase enabled the patient to evaluate aesthetics, function, and phonetics while the definitive resto...

Figure 11 - The provisionalization phase enabled the patient to evaluate aesthetics, function, and phonetics while the definitive restorations were fabricated.

All-Zirconia Crowns and Feldspathic Veneers After Orthodontic Treatment<br/> Figure 12. <span style='font-size: 16px; font-weight: normal'> Immediate postoperative facial view of the bonded restorations, demonstrating enhanced aesthetics and symmetry.</span>

Figure 12 - Immediate postoperative facial view of the bonded restorations, demonstrating enhanced aesthetics and symmetry.

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