Case 3BIOLOGICAL CROWN

A 12 year old male patient

reported to Dept. of Pedodontics and Preventive

Dentistry of GNIDSR , with

chief complaint of lost lower left

anterior tooth and mobile lower right

anterior teeth, following a

trauma , 7 days ago.

.

Intraoral examination :

• Avulsion of 31 • 2 degree mobility • Extrusion of 41.• Mucosa of lower

and upper lip lacerated.

• Poor Oral hygiene

Treatment plan:• Oral prophylaxis • Followed by splinting of lower

anterior teeth from 33 to 43 ,• Followed by biological crown of 31

Per- operative view

Oral prophylaxis done

Splinting via wire and light cure composite done from 33 to 43

Per- operative view

• After 15 days splint removed, 41 remain asymptomatic

Per-operative view

Avulsed 31 prepared for

biological crown.

Root portion removed by air rotor

hand piece

Remaining pulp removed by a file

Pulp chamber filled by flowable LIC

Post-operative view The biologic, prepared tooth is

fixed with fiber optic ribbon with 32 and 41 replacing 31.

Labial view Lingual view

Post-operative

• Immediate

3 month

s follow

up