Bath, United Kingdom
Clinical case description:
The patient was a 42 year old female. She had recently fallen over and sustained a blow to her upper left central incisor (UL1). The upper left central incisor tooth was an abutment for a four-unit bridge. The other abutment tooth was her upper left first premolar (UL4). The bridge had two pontics at the upper left lateral incisor site (UL2) and the upper left canine site (UL3).
The patient was in pain from her UL1.
She did not like the appearance of her upper right lateral incisor (UR2).
Notable factors about the patient assessment
The patient had an uneven, high smile line (Kourkouta 2011).
The clinical crowns of her bridge (UL1-UL4) appeared longer than the clinical crowns on the other side.
UL1 had a fractured root and was not savable