A modified technique on the reattachment of permanent tooth fragments following dental trauma. Case report.

2006 ◽  
Vol 30 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Konstantinos Arapostathis ◽  
Arhakis Arhakis ◽  
Sotiris Kalfas
Keyword(s):  
Case Report ◽  
Adhesive Bonding ◽  
Composite Resin ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Modified Technique ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Initial Procedure ◽  
Trauma Case

Fractured anterior teeth can be restored by adhesive bonding of the fractured fragment to the remaining tooth structure. One of the major challenges for the practitioner treating traumatized anterior teeth with immediate fragment reattachment is disguising the fracture line, through the correct use of masking and restorative resins to make the restorations imperceptible to the eye as well as improve the retention of the restoration. This paper discusses a modified technique for reattaching a permanent tooth fragment following dental trauma. The initial procedure involved simple reattachment using light cured composite resin between the fragment and the remnant part of the tooth, without additional preparation. The surplus resin was spread across it in an attempt to optimize marginal seal and improve the aesthetics of the restoration. Finally, after taking into account the occlusion, the lingual surfaces of the teeth were veneered with microfilled composite to improve the retention of the reattached fragments.

scholarly journals Simulating Natural Tooth Anatomy in Anterior Teeth Crown Fracture: A Case Report

2019 ◽  
Vol 4 (2) ◽  
pp. 38-39
Author(s):  
Reena Rani ◽  
◽  
Sanjay Chachra ◽  
Manu Sharma ◽  
Samriti Bansal ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Permanent Teeth ◽  
Time Saving ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Complex Procedure ◽  
Composite Resin Restorations ◽  
And Function ◽  
Natural Tooth

Background: Trauma to the anterior teeth is common in young children and in adolescents. Uncomplicated crown fracture to the permanent teeth has an intense effect not only on the patient’s esthetics, but also on speech and function. Aim: Performing an economical, a minimally invasive, time-saving, long lasting, functional and natural alike direct composite resin restorations in a single visit. Conclusion: As restoring a fractured tooth structure is a complex procedure, this technique can prove to be a simple, effective and appropriate technique that will fulfill all the requirements of dental practioner without requiring special skills in providing the patients with direct composite restorations. Clinical Significance: This technique is economical which requires less chair side time compared to indirect restorations.

Técnica de estratificação natural em dente anterior – relato de caso

2021 ◽  
Vol 10 (40) ◽  
pp. 11-15
Author(s):  
Patrícia Ferronato Araújo ◽  
Jessica Tiemi Ribeiro Ishii ◽  
Antonio Setsuo Sakamoto Junior
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Composite Resin ◽  
Dental Trauma ◽  
Restorative Treatment ◽  
Anterior Teeth

Dental trauma injuries occur more frequently in upper anterior teeth, especially in enamel and dentin without pulp involvement. This article presents a clinical case report of a patient dissatisfied with the color of the tooth 21 restoration performed after suffering dental trauma. The format was adequate, so a previous molding of the palatal region was performed, and a condensing silicone guide was made. The use of the palatal guide facilitates the execution of the restoration and guides the layering of selected resins. Following the Natural Stratification concept, this case demonstrated a restorative treatment of direct restorations in composite resin, which can be considered an alternative for fractured anterior teeth, presenting clinical agility and excellent esthetic results.

scholarly journals Restoring a Fractured Endodontically Treated Incisor Using Fiber Post: A Case Report

2020 ◽  
Vol 3 (11) ◽  
pp. 355-357
Author(s):  
Gayathri KM ◽  
Prasad PK
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Dental Trauma ◽  
Fiber Post ◽  
Endodontically Treated Teeth ◽  
Present Case Report ◽  
Tooth Structure ◽  
Anterior Teeth ◽  
Fiber Posts ◽  
Tooth Number

Coronal fractures of the anterior teeth arising after endodontic treatment are sequelae of dental trauma. Endodontically treated teeth presents a higher risk of biomechanical failure than vital teeth. Posts are needed for restoring teeth with insufficient coronal tooth structure to retain a core for definitive restoration. Fiber posts are more easily and safely removed "by hollowing them out from the inside”. This present case report depicts a 23 year old male patient with fracture of tooth number 21 which had undergone an RCT 8-10 months ago and was restored using fiber post.

Cirurgia de aumento de coroa clínica e confecção de facetas diretas em resina composta orientadas por mock-up.

2020 ◽  
Vol 12 (45) ◽  
pp. 24-33
Author(s):  
Fábio Shiniti Mizutani ◽  
Atila de Freitas ◽  
Adriano Sapata ◽  
Claudio Sato
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Treatment Plan ◽  
Diagnostic Information ◽  
Good Treatment ◽  
Restorative Dentistry ◽  
Laboratory Technician ◽  
Crown Length ◽  
Anterior Teeth ◽  
Anterior Posterior

Keeping in mind the final result is the basis of any type of treatment, especially those in which the morphology, size and proportion of the anterior teeth will be changed. This is where a good treatment plan based on a diagnostic wax-up tested with a mock-up and approved by the patient becomes crucial. This case report aims to exemplify how to transfer the diagnostic information to the patient’s mouth and direct it not only to the restorative dentistry, but also to the surgeon when performing the crown length. Diagnostic waxing was performed by the laboratory technician, obeying anterior posterior incisal and gingival criteria and curvatures, which were transported to an aesthetic guide through mock up to mark the surgical points. Then, surgery to increase the clinical crown with bone access and after healing, direct venners in composite resin also guided by waxing. In conclusion, a workflow can be established using the wax-up / mock-up that serves as a guide for the periodontist in the approach to surgical lengthening of the crown and for the rehabilitator who uses it to produce changes in the shape of dental dimensions .

Management of trauma to the anterior segment of the maxilla: alveolar fracture and primary incisors crown and root fracture

2021 ◽  
Vol 33 (2) ◽  
pp. 16-20
Author(s):  
Muna S Khalaf ◽  
Bayan S Khalaf ◽  
Shorouq M Abass
Keyword(s):  
Soft Tissue ◽  
Primary Teeth ◽  
Alveolar Bone ◽  
Anterior Segment ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Position ◽  
Anterior Teeth ◽  
The Impact

Background: An injury to both the primary and permanent teeth and the supporting structures is one of the most common dental problems seen in children. Splinting is usually difficult or impossible to perform in the primary dentition (due to diminutive room size and lack of patient cooperation). Healing must, therefore, occur despite mobility at the fracture line, usually resulting in interposition of connective tissue. In some instances, infection will occur in the coronal pulp. The present study reported a case of trauma to the anterior primary teeth and alveolar bone in a four year old child. The trauma has caused fracture to the crowns and roots of the primary anterior teeth. The following case was managed in a procedure that may provide primary teeth subjected to trauma a better chance than extraction with a better prognosis. Case presentation: a 4 and a half year old child was subjected to trauma in anterior segment of maxilla. Suturing of the torn soft tissue was the first step followed by pulpotomy for the left primary lateral incisor. Fixation of the right primary central and lateral incisors was done by acid etch wire fixation. Both clinical and radiographic follow up was carried out for 6.4 years. Results: healing of the soft tissue was observed after one week and completed after two months. Fixation of the teeth continued for ten months. The fracture lines in the roots remained in position. Clinically there was no sign of any pulpal inflammation or necrosis. Radiographically, no signs of infection to the surrounding tissues could be seen, no resorption in the alveolar bone, external or internal resorption of the root did not happen also. After ten months fixation ended and the wire was removed. At that time there was normal resorption of the roots of the primary incisors in relation with the normal development of the permanent incisors. After 3 years both permanent central incisors erupted in their normal position. After 6.4 years all four permanent incisors erupted into occlusion in their normal position. Conclusion: primary teeth with root fractures and severely mobile coronal fragments can be treated by a conservative approach. The severity of the sequels is directly related to the degree of permanent tooth formation (child’s age), type of dental trauma and extent of the impact. Key words: trauma, primary incisors, fractured crown and root

scholarly journals Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment

2016 ◽  
Vol 6 (1) ◽  
pp. 52-56
Keyword(s):  
Case Report ◽  
Surface Texture ◽  
Simple Procedure ◽  
Dental Trauma ◽  
Central Incisor ◽  
Fiber Post ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Crown Root ◽  
Anterior Teeth

ABSTRACT Crown fractures of the anterior teeth are a common form of dental trauma mainly affecting children and adolescents. One of the options for managing crown fractures is the reattachment of the fractured fragment when the tooth fragment is available with minimal or no violation of the biological width. Reattachment of fractured fragments can provide good esthetics, as it maintains the tooth's original anatomic form, color, and surface texture. It also restores function and is a relatively simple procedure. This case report deals with the esthetic management of a crown-root fracture that was successfully treated with endodontic treatment followed by reattachment of fractured fragment with fiber post. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment. J Contemp Dent 2016;6(1):52-56.

Management of Complicated Crown Fracture with Biodentine Partial Pulpotomy and Fracture Segment Reattachment

2021 ◽  
Vol 11 (6) ◽  
pp. 152-156
Author(s):  
Vidhi Thakur ◽  
Shweta Mittal ◽  
Ritika Yadav
Keyword(s):  
Case Report ◽  
Key Words ◽  
Conservative Management ◽  
Tooth Structure ◽  
Anterior Teeth

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.

scholarly journals Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Preventive Treatment ◽  
Open Bite ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

Direct Restoration of Worn Maxillary Anterior Teeth with a Combination of Composite Resin Materials: A Case Report

2005 ◽  
Vol 17 (2) ◽  
pp. 85-91 ◽  
Author(s):  
CARLOS JOSÉ SOARES ◽  
ELIANE CRISTINA GAVA PIZI ◽  
RODRIGO BORGES FONSECA ◽  
LUIS ROBERTO MARCONDES MARTINS ◽  
ALFREDO JULIO FERNANDES NETO
Keyword(s):  
Case Report ◽  
Composite Resin ◽  
Anterior Teeth ◽  
Direct Restoration

scholarly journals Anterior teeth rehabilitation with direct resin composite veneer using multiple layering technique: A case report

2021 ◽  
Vol 2 (1) ◽  
pp. 56-61
Author(s):  
Muhammad Nur Izham Khairuddin ◽  
Pengiran Muhammad Badi'uzzaman Awang Iskanderdzulkarnein ◽  
Mohd Haikal Mohd Halil
Keyword(s):  
Case Report ◽  
Resin Composite ◽  
Tooth Structure ◽  
Aesthetic Result ◽  
Anterior Teeth ◽  
Direct Technique ◽  
Multiple Visit ◽  
Cost Treatment ◽  
Tooth Preparation ◽  
Indirect Technique

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.

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