Concluded Case

Overretaintion of primary incisors

A 21 year old female patient wants to treat her overretained primary mandibular central incisors (both right and left). Teeth have 0 grade mobility, There is mild attrition, No complaints of pain and sensitivity She is not ready for implants or prosthesis Please suggest the possible treatment plans

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Concluded answer

Ideally you should go for extraction of both lower right and left central incisors and followed by implant or fpd . But as you said patient is not willing for the same, if pulp is not exposed then you can buildup these tooth with the help of composite and achieve the shape like permanent central incisor. But you have to explain the prognosis of this treatment to the patient because prognosis is poor.

All Answers

Ideally you should go for extraction of both lower right and left central incisors and followed by implant or fpd . But as you said patient is not willing for the same, if pulp is not exposed then you can buildup these tooth with the help of composite and achieve the shape like permanent central incisor. But you have to explain the prognosis of this treatment to the patient because prognosis is poor.

Thank u mam
0

Tx: Composite veneer But discuss it with pt before by making mock up

Thank you doctor
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Thank you doctor
0

Then go with restoration of teeth...( Crown)