A young and attractive childcare teacher cum part-time model turned up at our clinic with an interesting problem.
Her main complaint was tilted right incisor. She could not put on braces as it would affect her modelling assignments.
Her main complaint was tilted right incisor. She could not put on braces as it would affect her modelling assignments.
Apart from a tilted incisor on the right side, she also has a retained baby tooth in the canine position.
The tilted tooth affects her smile very significant.
An xray solves the mystery. The patient's permanent canine decided to lodge itself in the upper jaw bone directly above the right incisor. The "hidden dragon" pushed the root of the incisor backwards (palatally), tilting the crown of the same tooth forward (labially).
For those who are not familiar with xrays, we'ce traced the buried canine out for you.
The "hidden dragon" was surgically removed and the defect was filled with bone graft. The patient was pain free from the second day after surgery. We proceeded to do a root canal on the tilted tooth.
Here's the tooth with fibre post and composite core built up.
Shade matching was a challenge. We didn't want to follow the colour of her other teeth too closely as she may want to do something about the unsightly spots soon. She may also wish to extract her baby tooth and replace it with an implant.
And here is the temporary crown.
Stay tuned to see our emax crown when it's ready.
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