Anterior Quadrant Rehabilitation with Surgical Crown Lengthening
Pre-operative view showing severly destructed anterior teeth
Selective caries removal stage
RCT for 4 anteriors
Surgical crown lengthening + Post and core build-up
Final Restoration
Background
The patient presented with extensive carious involvement in the anterior quadrant, compromised crown height, and reduced structural integrity, affecting both function and aesthetics
Treatment Plan
A phased multidisciplinary approach was planned:
Conservative caries management
Periodontal surgical intervention (surgical crown lengthening)
Structural reinforcement (post + core)
Definitive prosthetic rehabilitation
Caries Management
Selective caries removal was performed to preserve sound dentin
Aimed to maintain tooth ferrule and avoid unnecessary structural loss
Surgical Crown Lengthening
Due to insufficient clinical crown height and subgingival caries margins, surgical crown lengthening was performed to:
Establish a sound tooth structure above the gingival margin
Respect biological width
Improve restorability and long-term prognosis
Post and Core Restoration
A post and core was placed in the indicated tooth to reinforce the remaining structure
Provided adequate retention and resistance form for the final prosthesis
Definitive Restoration
An anterior fixed bridge was fabricated to restore:
Aesthetics
Function
Proper anterior guidance