Extensive restorations - De-vital teeth
Click on thumbnail to see 'before' and 'after'
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Before
Devital first upper molar before starting the filling. The gutta-percha pink material is visible at the root canal entrance; please, note the severe destruction of the tooth crown showing very thin residual walls.After
Dr Deliperi operative protocols for the restoration of devital teeth allowed avoiding the preparation of the tooth for a crown. An extensive fiber-reinforced tooth-colored restoration was performed; fibers reinforce residual tooth structure and better support the composite material.
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Before
Upper premolar presenting a temporary filling because the existing amalgam filling and lingual cusp fractured. The palatal fracture line was below the gum line and a gingival plastic surgery was required.After
Dr Deliperi completed a fiber-reinforced tooth-colored filling; the original anatomy of the tooth was restored.
This clinical case and the operative protocol were published in the Journal of Adhesive Dentistry 2005 and were translated by the publisher in Russian the same year.
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Before
Patient presented with cusp fracture on the lower second molar and fracture of the filling on the first molar. The second molar also presented a decay process reaching the pulp; please, also note the abnormal gingiva growth inside the cavity.After
The same teeth following root canal on the second molar, crown lengthening and tooth colored restorations of the two molars. Dr Deliperi achieved the final result preserving the remaining sound tooth structure.
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Before
Upper devital premolar tooth showing an unaesthetic silver amalgam filling.After
The same tooth following replacement of the existing filling with a tooth- colored restoratione.
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Before
Silver amalgam filling on the first molar.After
The same tooth following replacement of the existing filling with a tooth- colored restoration. Although the major part of the tooth structure was missing, the final result was achieved with no sacrifice of sound tooth structure! No dental crown was required.
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Before
Devitalized upper molar tooth following isolation with rubber dam and placement of a dental matrix (metal ring). The tooth is ready to be restored; the major part of the tooth structure is missing.After
Once Dr. Deliperi completed the tooth-colored restoration, it is not possible to distinguish the tooth-restoration borderline; the filled tooth is perfectly integrated with the contiguous teeth.
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Before
Patient’s smile showing both gingival recession and incongruous full-ceramic crowns. Please, note either tooth color discoloration or ceramic crowns unnatural shade.After
The canine and premolar teeth tooth whitening plus the gingival and prosthetic therapy allowed to select a whiter and brighter crown shade. A brilliant smile was achieved!
