09/02/2023
I absolutely love challenges like this. New patient, emergency, fractured tooth snowboarding. How to go about rebuilding? A huge build up like this would be much easier with a template which we obviously don’t have, so this was built freehand using a layered approach, hardwearing Venus Pearl composite resin in A2, A1 and CL. Polished and shaped with diamond burs and polishing disks and wheels. Scan taken (so we can get a stent made in the future if needed) and a mouth guard to protect those teeth from further damage (I noted the patient has considerable lower incisal toothwear for his age, he is likely grinding (bruxing) at night. We will look at this in more detail at his review appointment, as it’s often not just as simple as rebuilding a tooth and assuming it won’t get broken off again.