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Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 46-47

Smile preservation: An innovative approach

CMDC, Southern Command, Pune, Maharashtra, India

Date of Submission18-Dec-2019
Date of Acceptance20-Dec-2019
Date of Web Publication31-Jan-2020

Correspondence Address:
Mahesh Eraiah Gowda
CMDC Southern Command, Wanowrie, Pune - 411 040, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JODD.JODD_6_19

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How to cite this article:
Gowda ME, Shashidhar M P, Sahoo NK. Smile preservation: An innovative approach. J Dent Def Sect. 2020;14:46-7

How to cite this URL:
Gowda ME, Shashidhar M P, Sahoo NK. Smile preservation: An innovative approach. J Dent Def Sect. [serial online] 2020 [cited 2023 Mar 23];14:46-7. Available from: http://www.journaldds.org/text.asp?2020/14/1/46/276409

Dear Editor,

Loss of teeth in the maxillary anterior region leads to compromised esthetics, function, and phonation, which affects the quality of life along with the psychosocial well-being of the individual. Therefore, loss of maxillary anterior teeth requires immediate prosthodontic rehabilitation.[1],[2] Conventionally, this is undertaken either with immediate removable partial denture or immediate implant placement with nonfunctional loading. There are certain clinical conditions and social circumstances in which implant restoration is not feasible or patient is unwilling for the use of removable prosthesis. In such scenario, patients are rehabilitated with immediate fixed dental prosthesis.

A 36-year-old serving soldier reported to us with root fracture at middle one third of maxillary right central incisor, which required extraction [Figure 1]. He was unwilling for rehabilitation with removable partial dentures or implant prosthesis. He desired immediate rehabilitation with the fixed prosthesis. Treatment plan was formulated to rehabilitate him after obtaining written consent with immediate fixed partial denture with innovative approach to achieve successful retention of esthetics.
Figure 1: Preoperative photographs

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Maxillary right lateral and maxillary left central incisors were prepared for metal-ceramic restoration before extraction of the fractured tooth. Impression was made for provisional restoration using irreversible hydrocolloid impression material. Fractured tooth was extracted and acrylic fixed prosthesis was cemented in the same sitting with noneugenol provisional luting cement. After 4 weeks of socket healing, provisional restoration was replaced with metal-ceramic three-unit fixed partial denture [Figure 2]. This innovative approach ensured the smile of the patient was preserved immediately after extraction. It is recommended that this simple and effective treatment modality may be utilized in preserving smiles of the patients in armed forces dental establishments.
Figure 2: Postoperative photographs

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Korman RP. Enhancing esthetics with a fixed prosthesis utilizing an innovative pontic design and periodontal plastic surgery. J Esthet Restor Dent 2015;27:13-28.  Back to cited text no. 1
Hawkins CH, Sterrett JD, Murphy HJ, Thomas JC. Ridge contour related to esthetics and function. J Prosthet Dent 1991;66:165-8.  Back to cited text no. 2


  [Figure 1], [Figure 2]


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