A Triumph Over Tooth Pain: Biomimetic Restoration for Lower Molar Fractures
Experience the pinnacle of dental care as we unveil a remarkable case where a patient's impeccable hygiene couldn't prevent fractures in her lower right first molar (tooth number 30). Dr. Nima Shayesteh, a pioneer in Biomimetic Dentistry, addressed the patient's pain and restored function without resorting to invasive procedures like crowns or root canals.
Case Overview
Patient Presentation: Despite excellent hygiene, the patient experienced increasing pain while chewing due to fractures in her lower molar.
Diagnosis: Closer inspection revealed moderate-sized composite filling and three peripheral rim fractures, indicative of cracked tooth syndrome.
Treatment Approach: Dr. Shayesteh's attention to detail in identifying and treating cracks with high magnification set the stage for an ultra-conservative approach to strengthen and restore the tooth.
Treatment Highlights:
Ultra-Conservative Preparation: Only the top 1.5 mm of the tooth was prepared for a porcelain biodome overlay, preserving as much healthy tooth structure as possible.
Meticulous Restoration: Careful disassembly of old composite filling and dissection of fractures ensured optimal preparation for the overlay.
Reinforcement: Polyethylene cross-weave ribbond fibers embedded in super composite stabilized and strengthened the tooth's floor before overlay placement.
Sealed Protection: The tooth was sealed to prevent bacterial ingress and sensitivity during the restoration fabrication period.
Precision Bonding: Upon return, the restoration was bonded to the tooth with unparalleled accuracy, achieving a nanometer-scale interface closure to prevent bacterial re-entry.
Preservation of Bio-Rim: The vital bio-rim of the tooth, responsible for distributing biting load and supporting gum health, was preserved, ensuring long-term stability and function.
Patient Experience
The patient experienced immediate relief from symptoms and was able to chew comfortably even with a temporary restoration. Upon the final restoration delivery, the natural aesthetic outcome blended seamlessly with her smile, ensuring both functionality and beauty.
Experience Dentistry Par Excellence
Join Dr. Nima Shayesteh at Concierge Smile Boutique for personalized consultations and discover a superior approach to preserving your teeth for life. Biomimetic Dentistry offers a solution that prioritizes health, longevity, and aesthetics, without compromise.
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