Case Study: Functional & Aesthetic Restoration via Root Canal Treatment & Crown (Cap)

Lead Clinician:

Dr. Aysha Siddika

BDS (SSMC), PGT (OMFS), PGT (Conservative Dentistry)

Specialist in Aesthetic Dentistry

Assistant Medical Director, Tech Dental

BMDC Reg No: 7897 | 08 Years Experience

Patient Presentation

• Age: 24 Years (Estimated)
• Gender: Female
• Chief Complaint: The patient presented with a severely broken upper front tooth. She reported dissatisfaction with her smile due to the visible gap/broken structure and expressed concern about saving the tooth rather than extracting it.

Clinical Examination & Diagnosis

Upon clinical examination, the following were noted:

• Fractured Crown: The upper right central incisor had lost a significant portion of its coronal structure, likely due to trauma or severe decay.
• Pulp Involvement: The fracture extended deep into the tooth structure, compromising the pulp tissue, necessitating endodontic intervention.
• Aesthetic Compromise: The broken tooth created a negative space in the smile line, affecting the patient’s self-confidence.
• Diagnosis: Complicated Crown Fracture with Pulp involvement requiring endodontic therapy and prosthetic rehabilitation.

Treatment Objectives

• Remove infected/damaged pulp tissue to prevent infection and pain.
• Preserve the natural tooth root structure.
• Restore the anatomical form and function of the tooth.
• Achieve a natural aesthetic blend with the adjacent teeth.

Treatment Plan: Root Canal Treatment (RCT) & Crown

To save the natural tooth and restore its look, a two-phase plan was adopted:

1. Root Canal Treatment (RCT): To clean and seal the inside of the tooth.
2. Dental Crown (Cap): To cover the remaining tooth structure, providing strength and aesthetics.

Clinical Procedure

Cementation: The final custom-made crown (Cap) was permanently cemented onto the prepared tooth structure.

Endodontic Phase: Access was gained to the pulp chamber. The canals were thoroughly cleaned, shaped, and sterilized. They were then sealed with a biocompatible material (Gutta-percha) to prevent future bacterial entry.

Post & Core Build-up: Due to extensive structure loss, a core build-up was performed to create a solid foundation for the crown.

Crown Preparation: The tooth was shaped to receive the dental cap.

Shade Selection: A shade matching the patient’s adjacent natural teeth was carefully selected to ensure the cap looked undetectable.

Results and Outcome

The post-operative results (as seen in the second image) demonstrate a successful rehabilitation:

• Aesthetics: The new crown perfectly mimics the shape, size, and color of the natural teeth. The smile is full and confident.
• Function: The patient can now bite and chew normally without fear of breaking the tooth.
• Gum Health: The gum line around the cap appears healthy and pink, indicating good tissue response to the restoration.

Conclusion

This case highlights the importance of Root Canal Treatment combined with a Dental Cap in saving severely damaged teeth. Under the care of Dr. Aysha Siddika at Tech Dental, the patient’s natural tooth root was preserved, and her smile was restored to its natural beauty, avoiding the need for extraction.