Contact Us
FOR PATIENTS
SOLEADOCTORS.COM

Case Studies | Convergent Dental

1 MIN READ

Crown Lengthening #20 (Closed)

Case Summary:

88-year-old woman had recent endodontic treatment on tooth #20 by endodontist. Tooth #20 needs a crown lengthening in order to be restored, as seen radiographically and in the pre-op photo. Due to the patient's age and medical history, a flapless (closed) crown lengthening was performed. The clinical objective was to restore the tooth, necessitating crown lengthening to expose adequate tooth structure. This procedure took approximately 40 minutes.

Crown Lengthening #20 (Closed) Case Summary

Technique Used:

The patient was anesthetized with 1/2 carpule of 4% articaine with epi 1:100,000. The previous crown was sectioned off and the composite restoration and decay were removed. The entire procedure was performed using the hard and soft tissue selection. Excess gingiva was ablated using the 1.00 mm and 0.25 mm spot size with 1% mist with cutting speed between 20% – 40%. The bone adjacent to the tooth was removed until 3 mm of tooth structure was coronal to the alveolus, using the 1.00 mm and 0.25 mm spot size, 100% mist and cutting speed between 40% – 60%. A Piezo scaler was used to smooth root surface and remove any spicules of bone on cementum. A temporary restoration was placed Tempit, (Centrix) and flowable composite Esthet-xflow, (Dentsply) were used. Retraction cord was placed to protect surgical site during fabrication and cementation of temporary crown. This cord was useful for stopping temporary cement from lodging subgingivally. The total procedure time was approximately 40 minutes.

Solea Advantage:

With Solea, this was a minimally invasive procedure. Solea’s precision and ability to maintain a clean surgical site allowed this procedure to be completed successfully. Patient reported no post-operative discomfort and rapid healing was observed. As the radiograph and photos show, excellent conditions for restoration were established.



Infant Lingual and Maxillary Frenectomies

Case Summary: The patient, a 10-week-old male infant, presented with a Class III maxillary lip tie and a Clas...

1 min read

Amalgam Removal on Tooth #14 and Class II Restoration o...

Case Summary: A 46-year-old male patient presented to the practice for his second appointment. The oral evalu...

1 min read

Request More Information