Future proofing a young smile
Abstract
This young lady was first treated by me when I received a phone call from a ‘pony club’ event when she was nine years old. Her centrals were avulsed and I met her parents in the emergency room where I managed to persuade the doctors to let me replant her teeth! She was subsequently treated by a teaching dental hospital in the paediatric department until she was discharged when she was 16 and returned to me as she was desperately unhappy with her smile. Her centrals had ankylosed and not moved with her smile which left her with no central incisal tooth display at rest. We elected for a multidisciplinary treatment involving orthodontics to improve her functional occlusion and to set up an improved environment for improving her smile.
Learning objectives
- Reviewing the guidelines for trauma to the permanent dentition
- To explore the options for ankylosed central incisors in a young adult
- To understand how to analyse the smile from a facial perspective
- To understand how to work with a digital lab to plan the ideal end result
- To understand how to plan pre-restorative tooth movements around immovable teeth
