Saturday

Composite build up

CASE REPORT: A 41 year old male patient presented with the complaint of missing upper front teeth on examination upper left second incisor and canine were missing moreover upper left first incisor and first premolar had crown cutting done on it. Patient informed that he had bridge previously which was broken off  around 2 months back. Moreover patient upper left second premolar had class 2 extensive caries and not enough tooth structure was left. Patient had no interest in having any extra crown except upper front convetional bridge. Upper left second premolar had no history of pain or tender on percussion and it was vital. Because of these circumstances composite build up was decided to be done on upper left second premolar followed by which bridge work was completed with missing teeth.

All the caries from upper left second premolar was removed and calcium hydroxide lining was placed around pulp. Followed by which composite build up was done with final polishing. A3 shade was choose on vita shade guide considering the bridge placement and opposite premolar on upper arch.

Image on the left shows upper left second premolar with completed treatment.

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