scholarly journals An Innovative Approach for the Management of Complex Crown Fracture - A Case Report

2021 ◽  
Vol 10 (7) ◽  
pp. 447-449
Author(s):  
Anshul Arora ◽  
Ashtha Arya ◽  
Mandeep S. Grewal ◽  
Megha Gugnani ◽  
Simran Simran

A tooth can be broken due to many reasons, out of which deep cervical caries can be the one leading to destruction of the whole buccal surface of the tooth. So, to preserve such kind of tooth, root canal treatment is the ultimate treatment option followed by proper selection of the restorative means of such endodontically treated tooth. endodontically treated tooth (ETT) has loss of tooth structure and changes in physical characteristics. Therefore, proper selection of restoration for ETT is mandatory to maintain almost the same level of strength and regaining its functional abilities. The decision of doing restoration of endodontically treated teeth depends on many factors like the amount of tooth structure remaining, condition of the opposing tooth, etc. In cases of less than 50 % tooth structure remaining post and core followed by crown is the best treatment option. This article showcases a case report of treatment of anterior teeth with deep cervical caries. The posts used in these cases were fiber post which were luted and the core build up was done with ParaCore, which is a glassreinforced composite by Coltene. Deep cervical caries can lead to destruction of the whole buccal surface of the tooth. So, to preserve such kind of tooth, root canal treatment followed by proper selection of restoration for endodontically treated tooth is mandatory to maintain almost the same level of strength and to regain its functional abilities. This article showcases a case report of treatment of anterior teeth with deep cervical caries.

2012 ◽  
Vol 11 (3) ◽  
pp. 187 ◽  
Author(s):  
Besse Tenri Awaru ◽  
Juni Jekti Nugroho

Structure of the anterior teeth after endodontic treatment usually become weak because of the extensive loss of toothstructure. It causes a big problem to an endodontically treatment tooth when considering its restoration, examplereduced strength of the remaining tooth structure. Restoration that covers the tooth crown can be used if aesthetic andfunctional problems factors have been considered. However, composite resins are also often the treatment of choice forthe restoration of endodontically treated tooth. In this literature review, it will be discussed the selection of the properrestoration of the anterior teeth that have been endodontically treated.


2011 ◽  
Vol 58 (3) ◽  
pp. 168-173
Author(s):  
Mirjana Vujaskovic ◽  
Nikola Stojanovic ◽  
Goran Vujaskovic

Introduction. Knowledge of root canal morphology is one of the main prerequisites for successful endodontic treatment. We present the case of a patient with multiple canals in lower anterior teeth which were treated endodontically. Case Report. To a 45-year-old patient endodontic treatment was applied on lower left lateral incisor, lower right central and lateral incisor and lower right canine. These teeth were previously prepared for prosthetic crowns. All involved teeth had two canals which were not visible on the primary radiographs. Gracility of remaining tooth structure and canals and the presence of two canals in each tooth required additional radiographs for verification of multiple canals. Careful biomechanical instrumentation and irrigation with use of lubrication due to narrow canals was performed. The canals were obturated with gutta-percha using lateral compaction technique and Acroseal (Septodont) paste. On the control checkup after eight months, the patient was asymptomatic, while clinical finding was normal. Conclusion. Complexity of presented case was even more significant because these teeth were prepared to support prosthetic superstructure and crowns, and every ?forgotten? canal is an iatrogenic error.


2015 ◽  
Vol 1 (2) ◽  
pp. 140
Author(s):  
Dimas Cahya Saputra ◽  
Tunjung Nugraheni

Laporan kasus ini bertujuan untuk melaporkan perawatan kasus fraktur subgingival dua gigi anterior maksila dengan pendekatan konservatif pada sisa jaringan keras gigi yang sehat. Perawatan pada gigi 11 dan 21 didahului perawatan saluran akar kemudian dilanjutkan dengan prosedur crown lenghtening dan restorasi mahkota penuh porselin fusi metal yang diperkuat dengan pasak metal customized. Perawatan ini merupakan alternatif untuk menghindari pencabutan gigi dan mengoptimalkan jaringan keras gigi tersisa untuk membangun sebuah restorasi estetis yang fungsional. ABSTRACT: Restoration Using Jacket Crown of Porcelain Fused-to-Metal and Crown Lengthening on Post-Traumatic Teeth 11 and 21. The aim of this case report was to describe the restoration of subgingival fractured two maxillary anterior teeth conservatively on healthy remaining tooth structure. Teeth #11 and #21 were initially treated by root canal treatment followed by crown lengthening and restored using porcelain fused-to-metal full crown retained by metal customized post. This treatment was an alternative to avoid tooth extraction and designed to optimize the remaining tooth structure in order to obtain a fully functional and esthetic restoration.


2013 ◽  
Vol 3 (1) ◽  
pp. 45-48
Author(s):  
CM Jan ◽  
F Rashid ◽  
NA Nomann ◽  
AJ Rashid

The restoration of a root canal treated or, endodontically treated teeth, is often can be achieved with post and core because of the significant loss of tooth structure. Until the mid-1980s, the safest way to restore an endodontically treated tooth was considered to be the cast-metal post, made indirectly by a dental technician. Also prefabricated metal posts in combination with different core materials under artificial crowns were used. The development and use of fiber reinforced composite (FRC) root canal posts over metallic posts make possible of the attachment & reinforcement of the crown with maximum esthetics. This paper illustrates a technique for rehabilitation of an endodontically treated maxillary central incisor of both sides (UL1 & UR1) with a fiber reinforced composite post (FRC post) & discusses the advantages, disadvantages of metallic post over fiber reinforced composite (FRC) posts.DOI: http://dx.doi.org/10.3329/bjdre.v3i1.16595 Bangladesh Journal of Dental Research & Education Vol.3(1) 2013: 45-48


2021 ◽  
Vol 11 (6) ◽  
pp. 152-156
Author(s):  
Vidhi Thakur ◽  
Shweta Mittal ◽  
Ritika Yadav

Fracture of maxillary anterior teeth is common in young individuals. Conservative management of complicated crown fractures helps in preservation of tooth structure, vitality and esthetics. This case report describes a conservative technique of managing a case of complicated crown fracture by performing partial pulpotomy with biodentine followed by fracture segment reattachment. Key words: Complicated crown fracture, Partial pulpotomy, Fractured segment reattachment.


2008 ◽  
Vol 9 (3) ◽  
pp. 56-63 ◽  
Author(s):  
Ali Cemal Tinaz ◽  
Baǧdagül Helvaciölu Kivanç ◽  
Güliz Gürgül

Abstract Aim The focus of this study was to examine the staining potential of calcium hydroxide (Ca(OH)2) on tooth structure following the removal of AH26 root canal sealer. Methods and Materials Fifty maxillary anterior teeth were prepared and obturated with AH26 and gutta percha. The sealers were then removed 24 hours later and the teeth were randomly divided into two groups. Ca(OH)2 was then placed in the root canals of the first group of teeth as a medicament and camphorated monochlorophenol (CMCP) was placed in the second group of teeth after the filling material was removed. The color of the external tooth surfaces was determined before tooth preparation and two weeks after the placement of the medicaments. The Z test was used for statistical analysis. Results All experimental teeth showed varying degrees of coronal discoloration with the Ca(OH)2 group showing more discoloration than the CMCP group (p<0.05). Conclusion Using Ca(OH)2 as a medicament after removing AH26 caused progressive discoloration of the teeth, whereas using CMCP caused only slight discoloration. Clinical Significance To avoid staining of the treated tooth, AH26 root canal sealer must be completely removed from the dentin walls before using a medicament. Citation Tinaz AC, Kivanç BH, Görgül G. Staining Potential of Calcium Hydroxide and Monochlorophenol Following Removal of AH26 Root Canal Sealer. J Contemp Dent Pract 2008 March; (9)3:056-063.


2021 ◽  
Vol 2 (1) ◽  
pp. 56-61
Author(s):  
Muhammad Nur Izham Khairuddin ◽  
Pengiran Muhammad Badi'uzzaman Awang Iskanderdzulkarnein ◽  
Mohd Haikal Mohd Halil

Cosmetic veneer has become a popular option for patients seeking to improve aesthetic in their smile. The procedure can be done through a direct or indirect technique which differs in term of material used and laboratory involvement. Despite producing a better aesthetic result than its direct technique counterpart, high-cost treatment, multiple visit requirement and invasive nature of tooth preparation are proven to be a stumbling block to the patient in some cases to choose indirect technique. Therefore, direct composite veneer technique can be offered due to its low costing and conservative concept which advocates more tooth structure preservation. This case report is about direct composite veneer for anterior teeth rehabilitation and its simple and conservative protocol.


Author(s):  
Juan Carlos Ramírez Barrantes DDS, MSD, PhD

The preservation of healthy dental structures contributes to the practice of a conservative dentistry. This concept involves the implementation of biological and mechanical principles in a more predictable manner. Minimally invasive cavity preparations are the complement to the selection of adhesive and composite resin materials. The correct application of an adhesive protocol will provide imperceptible aesthetic restorations and adequate clinical performance.


2012 ◽  
Vol 2 (2) ◽  
pp. 53-56
Author(s):  
Vanitha Shenoy ◽  
Rahul Kumar

ABSTRACT A problem that an endodontist can encounter during the course of root canal treatment is pain and swelling or both in the form of flare-ups. The causes for this flare-up are numerous which include mechanical, chemical, microbial injury to the pulp or periradicular tissues, whereby an acute periradicular inflammation results. This situation can be prevented by selection of instrumentation technique, that extrude lesser amount of debris apically, completion of biomechanical preparation in a single sitting, use of antimicrobial intracanal medicament between appointment in the treatment of infected cases with an appropriate coronal temporary restoration and maintaining asepsis throughout the root canal treatment. The flare-up phenomena are complex and not well-understood which involves a number of hypotheses for its etiology. A correct diagnosis and treatment aids in the resolution of the flare-up. This case report explains the management of an interappointment flare-up, with an overview of flare-ups. How to cite this article Shenoy V, Kumar R, Sumanthini MV. Interappointment Flare-up in Endodontics: A Case Report and an Overview. J Contemp Dent 2012;2(2):53-56.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2926-2931
Author(s):  
Deepika Masurkar ◽  
Priyanka Jaiswal ◽  
Diksha Agrawal

Crown lengthening is a surgical procedure designed to increase the extent of the supragingival tooth structure, so that the clinician can restore the tooth. Crown lengthening procedure is done to maintain normal biologic width and increase crown length for retention of prosthesis. Various techniques have been proposed to perform CLP, such as gingivectomy, undisplaced flap with or without osseous reduction, apically repositioned flap with or without bone reduction, and orthodontic forced eruption with or without fibrotomy. Selection of one of this CLP technique depends upon esthetics, clinical ratio of crown to root, structure of root, location of furcation, position of tooth and the capacity of the tooth to be restored. This case report illustrate two different methods of doing crown lengthening procedure the selection of case depends upon various soft tissue and hard tissue parameters. Owing to the various advantages, disadvantages and associated limitation with different methods, we opted for surgical CLP with scalpel method. Uneventful healing was observed in both our cases. No post-operative complications was observed in both cases. Thus to conclude success rate of CLP is high but appropriate selection of case is required. In our case report both the methods of CLP shows significant result in increasing the crown length and maintaining the biological width.


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