The Biomimetic Dentistry Approach to treating #9 Trauma

This was a unique situation I treated over 2 years ago with great success. The patient came to me for a second opinion after hearing about Biomimetic Dentistry from her mother. She had fallen and #9 was fractured completely, with only the lingual connective tissue attachment holding the fragment in place.

Biomimetic Dentistry and Trauma Fracture

The patient had already seen another dentist for a consult and was provided with the traditional treatment options including: bridge, implant, or a removable partial. She came to hoping to save her tooth which she was told was not savable.
After reviewing the case, my feeling was that this tooth could be restored for an interim duration. I reviewed that all treatment options, including implant, will have complications over a long period of time. I recommended eventual implant placement, but only after maintaining her tooth for as long as possible without bone loss, recession, or discomfort.

Step By Step Biomimetic Approach

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Lessons for the Biomimetic Dentist

In our courses, I always tell other doctors that part of mastering biomimetic dentistry is understanding the science and the literature in order to treat unique scenarios with a biomimetic approach. Not every case will be a straight forward inlay, onlay, or direct composite restoration and this is why we recommend all biomimetic dentists become experts of the adhesive literature. This case utilized the concepts of immediate dentin sealing and stress reduction to maximize the bond strength and restore an otherwise unrestorable tooth.

Matt Nejad About Matt Nejad

Dr. Nejad graduated from the University of Southern California School of Dentistry with recognition for a record setting amount of fixed prosthodontic procedures completed. He was the youngest dentist to become a clinical instructor at USC, at the age of 26, and he has given lectures on Morphology and Occlusion (since 2010). He is a premiere educator in Biomimetic Dentistry, presenting at numerous conferences by invitation and providing continuing education courses for dentists. He also has a private practice in Beverly Hills, CA. He has been teaching dentists from around the world, how to improve their adhesive dentistry and provide conservative restorations with the biomimetic approach.

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