I’m curious to know what the dental community thinks about Aaron Judge’s case, and which, if any, direct composite veneers technique would have been best for his injury. For those unaware, Judge is a Yankees player who was injured in a post-game celebration. His tooth came into contact with a helmet and a corner of it broke off. It seems to me, that this could have been handled by the right direct composite veneers technique, had he seen a skilled cosmetic dentist. Unfortunately, it sounds like he wound up in the hands of a hack who forced him to get full coverage.
It’s generally unwise to speculate with so few details being known. At this point, no details have emerged that say exactly what he had done, nor what the diagnosis was. While it’s possible he only lost a small portion of the tooth, most reports indicate he lost half, if not more. Could he have gotten by with less than full coverage? Only his dentist and those with x-rays, as well as the knowledge to interpret them know the truth.
With all that said, Judge also remarked that he felt like both his front teeth had been knocked out. That kind of trauma does usually kill the tooth, resulting in the need for a root canal at a later point in time. While there’s a benefit to being conservative, and only providing treatment known to be absolutely necessary, it’s also possible this dentist knows something the rest of us don’t. It’s entirely possible he needed one of more root canals. Although the need for crowns on anterior teeth in these circumstances is widely debated in the industry, it’s still standard practice, and it would make sense if the treating dentist included it as part of his treatment plan.
If a chairside option would have worked, and that’s a BIG if, the direct composite veneers technique that would have worked best would vary based on the dentist. However, certainly a dental matrix or a form would have been beneficial in the shaping and building process. Something like this would have worked as a long-term solution, but only if the damage didn’t require a full crown. It would have also been a viable short-term solution if the dentist wanted to do a porcelain veneer, but needed something temporary to protect the tooth and keep him looking good while he waited for the permanent porcelain veneer.
This blog is sponsored innovative chairside veneer matrix maker Uveneer.