Case Studies

Case 1: Fractured top front right permanent tooth of a 7-year old from trauma following a bicycle accident

(fig 1). Both aesthetics and function have been beautifully restored with composite resin under rubber dam isolation

(fig 1). Both aesthetics and function have been beautifully restored with composite resin under rubber dam isolation

(fig 2). A digital X ray was also taken to establish the extent of the injury and the stage of development of the traumatised tooth. Due to his young age and size of the fracture the tooth will be monitored with vitality testing on a regular basis to notice if the tooth shows any signs of losing vitality ( nerve dies)

(fig 2). A digital X ray was also taken to establish the extent of the injury and the stage of development of the traumatised tooth. Due to his young age and size of the fracture the tooth will be monitored with vitality testing on a regular basis to notice if the tooth shows any signs of losing vitality ( nerve dies)

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Case 2: Fractured top front permanent teeth of a 14 year old girl following a fall on the pavement

(fig 3) Owing vitality testing and Xrays the teeth were built up using composite resin and transparent crown forms.

(fig 3) Owing vitality testing and Xrays the teeth were built up using composite resin and transparent crown forms.

The filling material shade is matched to the tooth colour and polished so that one cannot notice that it ws ever damaged (fig 4)

The filling material shade is matched to the tooth colour and polished so that one cannot notice that it ws ever damaged (fig 4)

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Case 3: Hypoplastic ( defective enamel ) lower newly erupted permanent molar of a 7 year old

(fig 5) is filled and protected from further breakdown by placing a white composite resin filling.

(fig 5) is filled and protected from further breakdown by placing a white composite resin filling.

The tooth will no longer be sensitive and prone to decay if teeth are kept clean with regular brushing and check up appointments.(fig 6)

The tooth will no longer be sensitive and prone to decay if teeth are kept clean with regular brushing and check up appointments.(fig 6)

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Case 4: 3 and a half year old daughter presented with widespread brown lesions (decay) on her top front baby teeth

A mother attended our surgery with her 3 ½ year old daughter who presented with widespread brown lesions (decay) on her top front baby teeth . These lesions spread all over around the tooth and were typical of nursing bottle caries. Following a thorough history taking and clinical examination it was concluded that this rampant decay was due to prolonged bottle feeding (milk) at night up to the age of 3. (Fig A,B,C).

A mother attended our surgery with her 3 ½ year old daughter who presented with widespread brown lesions (decay) on her top front baby teeth . These lesions spread all over around the tooth and were typical of nursing bottle caries. Following a thorough history taking and clinical examination it was concluded that this rampant decay was due to prolonged bottle feeding (milk) at night up to the age of 3. (Fig A,B,C).

All decay has been removed and both aesthetics and function have been beautifully restored with composite build ups (Fig D,E,F,G).

All decay has been removed and both aesthetics and function have been beautifully restored with composite build ups (Fig D,E,F,G).

Due to the extent of the decay and age of the patient the treatment was carried out under general anaesthesia as a day case in a private hospital nearby our dental clinic. A paediatric anaesthetist and highly trained staff assisted and the hospital theatre unit has all the necessary well maintained equipment (Fig H)

Due to the extent of the decay and age of the patient the treatment was carried out under general anaesthesia as a day case in a private hospital nearby our dental clinic. A paediatric anaesthetist and highly trained staff assisted and the hospital theatre unit has all the necessary well maintained equipment (Fig H)

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