Introduction to the case
Summer is the period of fractured incisors in pediatric patients! I am doing this kind of work every week!
Have been asked about some tips for direct composite, especially on how to get symmetrical central incisors. This is a simple tip, but I rarely see it being done. Heck, it took me a long time to implement it. Here is how I messed up, and hopefully learned from it.
The dreaded single central. Patient was concerned because her “front tooth had been getting darker over the past three months”. Endodontic therapy had been performed 10 years prior. Sketchy mid-root region, endodontist confirmed resorption. Patient wouldn’t be able to get the exo for a while. This restoration is meant to be a long term provisional, but I saw no better way to address the situation given the circumstances.