Esthetic And Functional Restoration of a Young Adult Patient After a Traumatic Injury, Using a Prosthodontics-Centered Multidisciplinary Approach: A Clinical Report.

Abstract

Traumatic dental injuries are common in young patients and most often affect the maxillary anterior region, leading to complex aesthetic and functional challenges. This clinical report describes the comprehensive rehabilitation of a 17-year-old male who presented with severe trauma to the maxillary central incisors. Clinical and radiographic examinations revealed extensive tooth structure loss, short clinical crowns, diastemas and excessive gingival display. A prosthodontics-centered multidisciplinary approach was implemented, involving endodontic retreatment, orthodontic therapy, aesthetic crown lengthening, guided implant placement and definitive prosthetic restorations. Digital tools, including CBCT, intraoral scanning, and smile design software, aided diagnosis, planning and patient treatment. After orthodontic treatment and surgical crown lengthening to optimize teeth position and soft and hard tissue architecture, two dental implants were placed using a fully guided protocol. The definitive restorations included implant retained screw-retained zirconia crowns for the maxillary central incisors and lithium disilicate veneers for the maxillary adjacent teeth. The treatment sequence addressed patient's biological, functional and aesthetic concerns. This clinical report underscores the significance of diagnostics, multidisciplinary collaboration and correct treatment planning in achieving optimal long-term results for young patients with highly complex treatment needs, such as anterior dental trauma.