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Dr Jurgita Smiles

Chipped or Fractured Tooth Repair

Trauma to the front teeth left one central incisor with a large fracture and its neighbour with a small chip. Even a break this size can usually be rebuilt in composite rather than needing a crown, provided the shape, layering and bite are managed correctly. Both teeth were restored layer by layer — dentine, enamel, then a translucent edge — to rebuild natural depth and match the surface texture of the adjacent teeth. Treatment was completed in Marylebone, London, in a single sitting with a finishing review.

Shared with patient consent. Results are individual to this patient.

Retracted before and after comparison of the upper front teeth, showing a fractured incisal corner above and the seamlessly rebuilt tooth below.

Clinical photos

  • Clinical photograph under blue rubber dam showing the fractured corner of the upper central incisor before treatment above, and the prepared, cleaned tooth below.
    Under rubber dam — the fracture isolated and prepared
  • Clinical photograph under rubber dam showing the composite build-up in progress above and the shaped, contoured restoration below.
    Composite layered and shaped to rebuild the missing corner
  • Close-up clinical photograph of the polished composite restoration blending into the natural tooth, showing matched translucency at the incisal edge.
    Close-up after polishing — shade, translucency and edge detail
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