This is a linear depression that is shallower and more irregular in shape. Supplemental grooves branch out from developing grooves but do not necessarily follow the same pattern on each tooth type. By and large, the more anterior the tooth is in the arch, the fewer supplementary grooves and the smoother the lingual surface. With few exceptions, anteriors typically have a single root. Each root of the maxillary front teeth is angled significantly lingually and somewhat distally (see Figure 20-9). Each root of the mandibular anterior teeth is angled differently, ranging from nearly vertical to extreme lingual inclination, with the exception of the canines, which may have a small distal root inclination.
The treatment plan was developed using a diagnostic wax-up and a cosmetic mock-up. After obtaining clinical and patient permission, the patient underwent direct and indirect restorative therapy. Conclusion: Nanocomposites are a viable alternative to amalgam fillings in front teeth. Additionally, proper planning permits optimal cosmetic outcomes, resulting in the repair of incisors with an abnormal axial inclination.
The right central and left lateral incisors are lingually positioned, resulting in thicker tissue, greater sulcus depths, and more coronal gingival edges. Right central sulcus probes 2.5 mm, left lateral sulcus probes 4 mm. The difficulty with not doing orthodontics in these patients is monitoring the long-term postsurgical gingival margin position, since surgery corrects only the gingival margin position, not the underlying root position. This patient opted for non-orthodontic treatment. The initial step in correcting the gingival margin location was to execute gingivectomies on the right central and left lateral. Additionally, the soft tissue dimension above bone on the left central was evaluated via sounds and was found to be 3 mm. 9 (Graphic 9)
Additionally, the new VDO should always be clinically evaluated before to any irreversible therapies, since it is picked randomly on the articulator.
In this situation, a typical and completely reversible treatment is the use of an occlusal guard, which needs the patient's cooperation. However, given the majority of people's busy lifestyles, it is quite naive to expect patients to wear an occlusal guard 24 hours a day for many months. Interim restorations may be a more practical strategy. In the event of adhesive rehabilitation, the dental technician may construct provisional composite onlays that are then bonded to the teeth, including the palatal aspects of the maxillary anterior dentition. This approach has a number of downsides, including the increased lab expenditures. Additionally, it is not always a totally reversible procedure, since it may need some tooth preparation to ensure the onlays are as thin as possible.
