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Esthetic restoration of periodontally involved maxillary anterior teeth

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Abstract


Tooth mobility is caused by periodontal diseases, traumatic injury, malocclusion, and habits such as thumb-sucking and tongue-thrusting. These causes allow the movement of teeth resulting in increased irritation to the supporting tissues and possible malpositioning of the teeth. Especially, advanced periodontal diseases allow teeth extrusion and spacing, resulting in esthetic problems.
Stabilization of the mobile teeth is a valuable treatment aid before, during, and after periodontal therapy. Moreover, the resin-bonded splint provides patients with positive psychological value, favorable occlusal relationship, and esthetics.
When a small number of teeth are involved and economics or patient time are limited, direct veneer can be applied using composite resin. Occasionally, this technique is accompanied with stabilization of mobile teeth for improving esthetics.
Two case reports illustrated the type of treatment to resolve esthetic and functional problem using resin-bonded splint and direct composite veneer in cases of extrusion, diastema, discoloration, and malocclusion of upper left central incisors by periodontal diseases.

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