Anterior Tooth Trauma

Written By Dr. Fletcher

Fractured left maxillary central incisorWhat Happened: This patient came into our office on a Monday afternoon. He explained that over the weekend he had been jumped and during the attack he was hit in the face with a metal pipe.
In the picture above, you can see the results. Hopefully you can see the diagonal fracture through the enamel on his front left tooth. This fracture was quite extensive and actually continued through the tooth and down to the gumline on the inside of his mouth. When I felt the edge of the tooth, it was very mobile.

The Plan: We decided to prepare this tooth for a full porcelain crown. The most difficult part of this case was matching the shade of one tooth to the existing teeth in the arch. We had this patient go to the dental laboratory for the technicians to get the most accurate shade match possible. From the picture, you can see how well they did with matching his new porcelain tooth to the existing teeth.

Porcelain Crown, Left Maxillary Incisor, 1 year followup

Dr. Fletcher
Dr. Andrew Fletcher has been practicing dentistry since his graduation from the University of the Pacific, School of Dentistry in 1995. “Since I began my career, I have been blessed with two things: a great staff and a ton of great patients…throughout the years I have maintained one constant philosophy at my office: treat your patients very very well, and that is what I have tried to do for the past decade.” Although he began his career working with little mouths, Dr. Fletcher now treats the entire family. “I really enjoy working on different generations of the same family…it is easy to see dental trends throughout a family, but it is also a ton of fun to meet grandparents, parents and children.” In the last few years, the majority of Dr. Fletcher’s continuing education has come from studying dental implants and the challenge of giving teeth, smiles and functioning bites back to patients that are missing or have lost teeth. Each month he meets with several dentists and specialists in to treatment plan and discuss different techniques for dental restoration and rehabilitation.
http://www.fletcherdentistry.com
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