International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 8 , ISSUE 3 ( July-September, 2018 ) > List of Articles

CASE REPORT

Interdisciplinary Approach to correct Maxillary Anterior Single Tooth Crossbite with Fixed Dental Prosthesis

Su J Wong, Liang L Seow

Keywords : Anterior crossbite, Fixed prosthesis, Post and core, Removable appliance

Citation Information : Wong SJ, Seow LL. Interdisciplinary Approach to correct Maxillary Anterior Single Tooth Crossbite with Fixed Dental Prosthesis. Int J Prosthodont Restor Dent 2018; 8 (3):91-95.

DOI: 10.5005/jp-journals-10019-1212

License: CC BY-NC 4.0

Published Online: 05-05-2022

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Anterior crossbite is an occlusal problem with functional and esthetic effects. To achieve normal occlusion and to preserve tooth structure, orthodontic appliances are commonly used, but in some clinical settings, a fixed prosthesis can be used as an alternative to the orthodontic appliance. A 33-year-old male came with esthetic concerns related to an anterior crossbite and missing tooth. He was fit and healthy. Intraoral examination revealed missing tooth 11, international caries detection and assessment system (ICDAS) code five mesial caries of tooth 12, anterior crossbite of tooth 22. The radiograph revealed periapical lesion at tooth 22 with a diagnosis of asymptomatic apical periodontitis and anterior crossbite. After discussion with the patient, the definitive treatment plan included oral hygiene instruction, caries control, non-surgical periodontal therapy; root canal treatment, orthodontic treatment for tooth 22 with Z-spring removable appliance due to his financial aspect as well as post and core, followed by four units porcelain-fused-metal bridge involving teeth 12, 21 and 22. Tooth 12 was restored with composite. Tooth 22 was root canal treated. Orthodontic treatment was unsuccessful. Post and core were done, followed by gingivoplasty. Abutment teeth 12, 21 and 22 were prepared and final impressions were taken. Provisional restoration was fabricated according to the diagnostic wax-up. The definitive restoration was assessed and cemented. Oral hygiene instruction and prosthesis home care were given. The patient was satisfied with the esthetic outcome of the treatment. The prognosis is fair. Patient's immediate esthetic demands could be achieved through restorative aspect.


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