A29-year-old male patient was presented to the practice after experiencing toothache in the upper left quadrant of his mouth. This case was unusual in that the patient had a supernumerary tooth located near the upper left 4. The patient admitted to consuming recreational drugs, which triggered him to react by grinding heavily on his teeth. He attended the practice two days later to have an examination and it was found that the supernumerary tooth had fractured from the crown to the root, so an extraction was required. As the patient lacked sufficient bone following this, and in order to protect the upper left 4, a graft was performed using a synthetic bone substitute material.
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