Natural Rehabilitation of Fractured Anterior Tooth Using Reattachment, a Single Visit Endo- Esthetic Approach- A Case Report.

Anterior teeth crown fracture of a growing child requires immediate attention, not only because of damage to the dentition but also due to unsightly smile and facial appearance affected by trauma to the child. Thus esthetic management of anterior tooth fracture has been one of the most important aspects of dentistry and when it has to be done using the tooth’s own structure, it sounds psychologically more acceptable. And with the development of resin-based materials that offer high bond strength values, it has made possible to undoubtedly go for reattachment technique with ease. For further simplification, single visit rotary endodontics using ProTaper Universal system is recommended as it is designed to offer better features like flexibility and less chairside time than hand instrumentation. Presented here is one such case in which a combination of single visit rotary endodontics and adhesive reattachment using flowable composites has been carried out to reframe the broken tooth and comply with the patient’s concern. The treatment was found to be successful both functionally and aesthetically at the 18-month follow-up.

Direct Esthetic Rehabilitation of Teeth with Severe Fluorosis Using Uveneer Facial Template: A Case Report.

“Dental fluorosis,” a specific disturbance in tooth formation and an esthetic condition, is defined as a chronic, fluorideinduced condition, in which enamel development is disrupted and the enamel is hypomineralized. Fluorosis can be prevented by having an adequate knowledge of the fluoride sources, knowing how to manage this issue and therefore, avoid overexposure. Controlling the fluoride intake is the best preventive measure for dental fluorosis, however when this is already installed and causing esthetic problems to the patient, many treatment techniques are recommended. This article describes an esthetic rehabilitation of a case of severe fluorosis using a new system for placing direct composite veneer, the Uveneer System (Ultradent) which simulates predictable shape and symmetry of natural teeth. In cases of severe dental fluorosis, the tooth enamel usually becomes porous and tooth whitening methods are not recommended. Therefore, minimally invasive technique of direct composite veneering using facial templates is the treatment of choice as it is easy to use, enhance clinical productivity, saves time, requires minimal preparation and is cost effective.