Aesthetic Treatment of Four Maxillary Anterior Teeth With Endodontic Failure: A Case Report

Abstract

Aesthetic aspect has become increasingly important in the modern restorative dentistry. Restoration, which considering aesthetics and function, is a paramount importance to the patient, especially in anterior region. Aesthetic analysis consists of facial and space analysis of teeth. Case report. A 23-year-old female patient presented to the Clinic of Conservative Dentistry Dental Hospital of Gadjah Mada University complaining a broken restoration of 12 tooth along with acute pain. Two years earlier, the tooth had been treated endodontically and direct restoration performed. Four days ago, the restoration was broken. A clinical examination revealed that teeth 12 ,11, 21, dan 22 had been previously restored using composite, though it had non-adequate contour and discoloration. Teeth 12 and 11 were tenderness in percussion and enlargement gingiva occurred. A periapical radiograph showed incomplete root canal obturation with apical lesion in teeth 12 and 11. After examination and aesthetic analysis completed, teeth 12 and 11 were carried out root canal retreatment followed by crown lengthening. One week following crown lengthening, teeth 12 and 11 were restored using fiber post and indirect composite crown. Teeth 21 and 22 were restored with direct veneer using composite to achieve ideal width of each tooth. Patient was recalled after two weeks, no complain, asymptomatic teeth and no underfilling were note. Radiographic examination revealed that the diameter of apical lesion became smaller. Conclusion. Aesthetic restoration is important to be conducted following endodontic treatment. Aesthetic restoration is associated with the successful of endodontic treatment in achieving normal function of the teeth.