1 / 17

Case studies

Case studies. Gary Wilson. Ceramic crown for a fractured canine in a show dog. History . 6 year old female show dog got into fight with kennel mate fractured both upper canine teeth owner opted no treatment 6 months later owner decided to seek restorations [crowns]. Clinical exam.

Jims
Download Presentation

Case studies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Case studies Gary Wilson

  2. Ceramic crown for a fractured canine in a show dog

  3. History • 6 year old female show dog got into fight with kennel mate • fractured both upper canine teeth • owner opted no treatment • 6 months later owner decided to seek restorations [crowns]

  4. Clinical exam • healthy but aggressive bitch • upper right canine fractured in distal 3rd of crown • upper left canine fractured 5mm coronal to gingival margin • both had necrotic pulps

  5. Treatment • both canines were treated endodontically to be re-assessed in 3 months – upper right was recontoured to approach a normal shape • 3 month recheck – both good periapically & owner opted for ceramic crown restoration of upper left canine

  6. Crown prep • under general anaesthesia the left canine was reduced with a round-end taper diamond bur in a high speed handpiece

  7. Crown prep • an attempt was made to produce an axial wall taper as close to parallel as possible • the apical margin was made approximately 0.5 – 1 mm above the gingival margin • an external bevel shoulder was produced at the margin

  8. Crown prep • mouth & dental impressions weremade with alginate for production of stone models • vinyl polysiloxane impressions of the crown prep were made for accurate crown production

  9. Crown manufacture • instructions were given to the technician for a colour matched ceramic crown to be produced that matched the size & shape of the upper right canine

  10. Crown placement • 2 weeks later the dog was re-anaesthetised and the crown “trial fitted” • the tooth surface & inside of the crown were acid etched, rinsed, dried & 3M single bond applied, dried & cured • dual cure resin cement [3M RelyX] was mixed & crown cemented in place & the margin light cured • excess cement was trimmed off

  11. the bitch has resumed its show career

  12. Apparently missing permanent upper right canine

  13. History • 8 month old Staffordshire bull terrier bitch presented with an apparently missing permanent upper right canine • all other permanent teeth had fully erupted • a fractured upper right deciduous canine was present

  14. Treatment • the dog was anaesthetised & the deciduous tooth remnants extracted • an intraoral radiograph was taken

  15. Treatment • a probe was passed through the alveolus of the extracted deciduous tooth to attempt to pinpoint the structure & re-x-rayed

  16. Treatment • a buccal approach was made over the tooth & it was located & removed

  17. Treatment • the site was closed in a single layer with 4/0 monosyn & the dog made an uneventful recovery

More Related