This lady, in her 30’s, wanted a cosmetic improvement for the UL1.
This tooth had been previously traumatised and fractured… then root filled and had a composite tip placed. The tooth has two separate cosmetic issues. Firstly that the composite filling tip is not ideal. This is partly down to the age of the restoration and partly that it has been placed as a block shade of restoration. Also the non-vital tooth has discoloured after the trauma.
As well as the cosmetic issues you can see, x-rays showed that the root filling was deficient and not suitable to allow further treatment on this tooth.
Initially this lady was seen by Cameron Currie to provide a re-treatment root canal filling. Once this was completed Russell Gidney was then able to internally whiten the tooth to improve the shade of the residual tooth tissue then place a composite filling, using layering of multiple shades to produce a more natural result.
An alternative option would have been to have placed crowns or veneers on this tooth. Both these options would have still required the root filling to be corrected first. They would have meant removal of some or all of the remaining tooth tissue and the cosmetic result would probably not have been so good.
Treating Dentist – Russell Gidney, Cameron Currie
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