31/03/2026
Case Presentation: Rehabilitation of Traumatized Anterior Teeth with Faulty Prosthesis
✓Patient History
A patient presented with:
•Chief complaint: Pain, sensitivity, and ulcerative lesion in the anterior region
•History: Road Traffic Accident (RTA) in 2016
•Previous dental treatment involving faulty prosthesis and inadequate endodontic therapy
✓Clinical Findings
•Faulty prosthesis involving:
-Upper right central incisor (11)
-Upper right lateral incisor (12)
-Lower right lateral incisor (42)
•Tooth 11:
-Previously attempted root canal treatment
-Canal filled with paper point instead of gutta-percha
•Tooth 42:
-Incomplete obturation
✓General findings:
•Severe calculus accumulation in anterior region
•Gingival inflammation with ulcerative lesion
✓Radiographic Findings
•Improper obturation in 11 and 42
•Periapical radiolucency suggestive of chronic periapical pathology
•Evidence of inadequate prior endodontic treatment
✓Diagnosis
•Failed endodontic treatment (11, 42)
•Faulty prosthesis
•Chronic gingival inflammation due to calculus
•Trauma-induced structural compromise
✓Treatment Plan
•Phase I Therapy
-Full mouth scaling and polishing
-Removal of faulty prosthesis
✓Endodontic Management
•Re-root canal treatment (Re-RCT) in 11 and 42
•Proper biomechanical preparation and obturation
✓Restorative Phase
•Crown build-up in 12
•Tooth preparation for prosthetic rehabilitation
✓Prosthetic Rehabilitation
•Impression making
•Placement of:
*2-unit zirconia prosthesis (11–12 region)
*Single-unit zirconia crown in 42 region
✓Treatment Outcome
•Complete resolution of pain and sensitivity
•Significant improvement in gingival health post-scaling
•Successful functional and esthetic rehabilitation
•Enhanced patient satisfaction and smile aesthetics
•Key Learning Points
•Always ensure use of appropriate obturation materials (avoid gross errors like paper point filling)
•Radiographic verification is essential in endodontic treatment
•Trauma cases require long-term monitoring and follow-up
•Periodontal health must be established before definitive prosthetic rehabilitation
