What are the options to replace my upper front teeth that got fractured due to trauma?

Question

Hi doctor,

My teeth 11, 21, and 22 got affected in a trauma six weeks ago. The already existing crown on tooth 11 came off, tooth 21 got chipped and dislodged a little, and tooth 22 got chipped. Alveolar splinting was done for six weeks. For tooth 11, a crown lengthening (gingivectomy) was discussed but was later ruled out, given the cracks in the remaining teeth.

The doctor said the implant would also fail as there is inadequate interocclusal space. My lower teeth are slightly protruding naturally. What options do I have now? I cannot stay toothless for life. I am distressed, still hopeful.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I checked your attachments (attachments removed to protect the patient's identity). So far, 11 is concerned; it is to be removed. Teeth 21 and 22 have sound tooth structures, so these can be corrected either by simple composite build-up or RCT (root canal treatment) followed by crown placement.

Whether filling can be done using composite or RCT (root canal treatment), followed by a crown, depends on whether the teeth are vital or not. Because after trauma, sometimes the core of the teeth or the pulp may die, termed non-vital teeth. So there is a need to do a vitality test by a dentist to confirm that.

According to my clinical experience, you do not have to worry because there is a bridge system in dentistry that can be placed there instead of implants. A bridge is also a good option in your case, and it can remain for decades. However, if the mobility is too much, you may require bone grafting first, which can also be easily done by a dentist. So you need not worry.

Consult a periodontist for further procedures.

I hope this helps.

Thanks.