Smile Escapes

The 85-year-old female patient presented after osteosynthesis of multiple mandibular fractures she had sustained in a fall (Figs. 1 & 2). During fixation, the left posterior region of the mandible was moved such that teeth #34–37 were brought out of occlusion (Fig. 3). The patient naturally wished to be able to chew properly again in this area. After endodontic treatment of the two avulsed central incisors, which had been replanted in the hospital, and periodontal therapy, occlusal elevation was planned on the left side.

 

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