Interdisciplinary Management of Aesthetic and Functional Rehabilitation Treatment in Anterior Teeth With Dental Anxiety: A Case Report

Patient with dental anxiety often requires special dental treatment. Anxiety for dental treatment still becomes significant issue for some people. They often lead to avoidance of dental care which may result in significant deterioration of oral and dental health. Music intervention can be a nonpharmacological management to overcome this issue. The need and demand for aesthetic dental restorations are increasing and should be responded by the dentist accordingly. Success in restoring teeth with optimal results will greatly affects self-confidence and improve their quality of life. Damaged anterior teeth due to complex caries has an effect on appearance and may impact confidence due to poor aesthetic. Restoration of anterior teeth from various damages in terms of form and function is highly valuable. Aim To report an aesthetic and rehabilitative management of complex caries on anterior teeth by endo-restoration with stomatognathic approach in patient with dental anxiety. Case: A 46-year-old female with complex caries in maxillary anterior teeth: 15, 14, 13, 12, 11, 23, 24 and mandibular anterior teeth: 44, 43, 42, 41, 31, 32, 33, 34, as well as missing 21 and 22 post-extraction came to the clinic with a complaint of unsightly appearance which affect her self-confidence. Patient desired to restore her upper and lower anterior teeth for functional and aesthetic purposes. Case management: Teeth with mild and moderate caries were managed with composite restoration, while severe caries was managed with root canal treatment, followed by the insertion of post and core, and mounted with porcelain fused to metal crown. To restore missing anterior teeth, bridge was fabricated. Damaged teeth by complex caries can be managed by restorative or endo-restorative treatment to restore their appearance, function, and aesthetic form in accordance with the stomatognathic system. Patient with dental anxiety can be safely treated with proper understanding. The result of this method was satisfying.