scholarly journals Direct composite restoration of permanent anterior teeth uncomplicated crown fractures

2012 ◽  
Vol 24 (1) ◽  
Author(s):  
Ashley Evans Nicholas ◽  
Milly Armilia Andang ◽  
Opik Taofik Hidayat

An uncomplicated crown fracture is a fracture that involves only the tooth enamel or the dentin and tooth enamel without any damage or exposure to the pulp. Crown fracture of the anterior teeth usually caused by traumatic forces such as falls, accidents, violence, or sports activities. Traumatic injuries of the oral region frequently involve the anterior teeth, especially maxillary incisors due to the anatomic factors which may affect the functional and aesthetical values of the teeth. The objective of this literature study was to know more about uncomplicated crown fracture of the anterior teeth and its restoration. This research was a literature study performed by researching, highlighting various interesting facts and compiling the relevant published journals. The most common and ideal direct restoration of the anterior teeth was the composite resin restoration. The anterior teeth restoration was considered to be a complex and challenging case to solves due to the fact that besides reconstructing the tooth and regaining the function, the aesthetical aspect was also becoming the main objectives. The permanent anterior teeth uncomplicated crown fracture was the most common case of tooth fractures which was mainly caused by traumatic injuries such as falls, accidents, excessive forces, violence, and also sports activities. Dental injuries of the anterior teeth also affected the aesthetical properties and the function of the tooth. Composite resin restoration was able to performed directly on the permanent anterior teeth uncomplicated crown fracture.

Author(s):  
Ya.Yu. Vodorez ◽  
I.M. Tkachenko

In modern dentistry, there are two different approaches to the restoration of anatomy and aesthetics of anterior teeth. The most common is the option of direct restoration with using composite resin materials. The second option is the restoration with using ceramic materials that is carried out through the cooperation of the dentists and the dental laboratory technicians, or, alternatively, with various CAD-CAM systems directly at the dental office. This experiment was carried out by using teeth (premolars, incisors) without significant loss of hard dental tissues. Teeth with abrasion (all except 1st degree) were excluded from the test group. Within the framework of the planned study, the selected extracted teeth were prepared (a certain volume of hard tissues was removed from the vestibular side (a subgroup of the teeth prepared within in the enamel layer, and a subgroup of teeth with the exposed dentine). A total of 40 teeth were prepared (20 teeth with the exposed dentine, 20 with the enamel preparation). The tests were carried out by using a universal testing machine AUTOGRAPH AGS-J. A sample with a tooth was placed at the top of the device then the second part of the sample containing the plate of the material (composite or ceramic), was covered with the second part of the device to be tested, and neatly, trying to avoid applying tension to the adhesive butt joints, and then fastened to the lower clamping device of the tension testing machine. We created the shear forces before the sample was destroyed, paying attention to the character of adhesion line oddments. The results of the experiment have demonstrated that the most optimal shear strength is found out in the complex of hard tooth tissues and ceramic materials IPS Empress Aesthetic and EX3, in the teeth prepared within the tooth enamel layer. When using composite resin, the values studied are lower by 11,4% and 18,1%, (application of adhesion systems of 5th and 7th generations, respectively). In the cases when dentin is exposed, the shear strength decreases by 19,5% when using ceramics modified by leucite glass, by 17,3% in the case of application of feldspar ceramics, and by 8,4% and 13,2% for composite resin restoration when using adhesive systems of 5th and 7Ith generations respectively.


2020 ◽  
Vol 6 (3) ◽  
pp. 32-38
Author(s):  
Tanzeem Ahmed ◽  
Nikhil Kaushal ◽  
Sujeet Singh ◽  
Rashmi Agarwal

Aims and Objectives: To determine the prevalence and etiology of fractured anterior teeth due to trauma among 8–14 years old school going children of Hyderabad city. Materials and method: A cross-sectional study was carried out in 8-14 year old children studying in various schools of Hyderabad for the assessment of traumatic injuries of anterior teeth. Clinical examination was carried out and type of teeth affected, type of fracture, overjet and lip competence were noted. A closed end questionnaire was given to children with questions regarding etiology of trauma, place of injury, symptoms or outcomes after the injury, whether a dentist was consulted, type of treatment done by dentist and time elapsed between trauma and treatment. All the results were analyzed using “statistical package for social sciences” (SPSS) 20.0 software. Results: The prevalence of dental trauma was found to be 7.84%. 11-14year old children showed higher prevalence. Males were more affected than females. Maxillary central incisors were most affected. Fracture involving enamel and dentin were recorded the highest. Children having overjet of >3mm and incompetent lips were at a higher risk of dental trauma (p value = 0.001). The most common cause of injury was sports and home was the most common place of occurrence of injury. Most of the traumatic dental injuries (TDI) did not undergo any treatment. Conclusion: Increasing the awareness of the parents and teachers about the prevention of TDI and the importance of consulting the dentist after trauma should be instituted.


2019 ◽  
Vol 44 (1) ◽  
pp. 1-7 ◽  
Author(s):  
GB Rauber ◽  
CMC Taguchi ◽  
ACL Padilha ◽  
RC de Re Silveira ◽  
JK Bernardon ◽  
...  

SUMMARY Fractured teeth with both enamel and dentin involvement might be treated with adhesive composite resin restorations. In cases where a perfect color match between the composite restoration and the remaining tooth structure is not achieved, a repair might be carried out to correct the color of restoration. This procedure avoids the restoration replacement, preserving tooth structure without compromising the esthetic outcome.


2017 ◽  
Vol 5 (2) ◽  
pp. 163
Author(s):  
Mohammed Al Moaleem ◽  
Abdulrahman A Mobaraky ◽  
Hassan A Madkhali ◽  
Muneera R Gohal ◽  
Amna M Mobaraki ◽  
...  

Statement of the problem: restoring endodontically treated teeth (ETT) is one of the major treatments provided by a dentist. Glass fiber posts (GFP) showed good clinical performance during last few years.Aim of the study; to assess and compare the clinical as well as the radiographic performance of different types of ceramic crown systems used in restoration of maxillary anterior teeth over a cemented GFP and composite resin core.Materials and methods: 50 ETT with GFP were included in this study. These teeth were divided into four gropes (composite resin. Porcelain fused to metal (PFM), e. max and zirconia restorations). Both the clinical and radiographic assessments were done for the restoration at a period of one week, 3, 6, 9, and 12 months after composite build up and crown's cementations. All data were registered and analyzed by SPSS program using percentages and Kaplan-Meyer analysis. Fisher’s exact test was used for categorical values while log-rank test was used for descriptive statistical analysis.Results: the clinical assessment showed no changes in the one week, 3 and 6 months in the four groups. While during the 9 and 12 months, a movement of the crown margin under finger pressure was present in one case, loss or retention in 2 cases of zirconia, the periodontal status with violation of biological width was present in one case of PFM and finally the color changes were obvious in one case of PFM and 2 cases of composite restoration. All the restorations in the four groups had no radiographic changes in the one week and three-month assessments. While during six-month follow-up, a loosed of retention in one case of the zirconia crown was detected. At the 9 and 12 months, two cases showed recurrent caries at the cervical margin of the composite restoration, cases with periapical infection and other with loss of retention of the post were recorded in the PFM restoration.Conclusion: e. Max and zirconia all ceramic crowns showed better clinical and radiographic performance than the PFM and composite restorations over 12 months recall.


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

2017 ◽  
Vol 10 (2) ◽  
pp. 177-182 ◽  
Author(s):  
Rahul Hegde ◽  
Geet Agrawal

ABSTRACT Aims and objectives To measure the prevalence of anterior teeth trauma in 9- to 14-year-old schoolchildren and their association with predisposing factors, such as lip competence, molar relationship, overjet, and variables, such as age, gender, and cause of trauma. Materials and methods Epidemiological cross-sectional study was carried out among 3,012 schoolchildren aged 9 to 14 years in Navi Mumbai (Kharghar-Belapur region). The sample size was derived using the stratified random sampling method; we picked six schools from the region. These schools had 3,000 students in the acceptable age group of the study which constituted our final sample size. All children were examined for traumatic dental injuries, and the children with positive findings were further examined for lip competence, Angle's molar relationship, and overjet. The results were statistically analyzed using cross-tabulation and Chi-square test. Results The prevalence of dental injuries was 7.3%, and the ratio of male to female children was found to be 1.6:1. The maximum number of traumatic dental injuries was found with class I molar relationship and overjet less than 3.5 mm in children with competent lips. Maximum number of injuries occurred in the age group of 13–14 years. The most predominant type of injury was the enamel fracture and the most common cause determined was due to fall. Conclusion The present study is a collection of data on traumatic injuries to anterior teeth, which is seen very commonly in day-to-day practice. The frequency and cause of traumatic injuries to anterior teeth is important for identification of risk groups, treatment needs, and cost involved in order for establishing effective preventive measures. How to cite this article Hegde R, Agrawal G. Prevalence of Traumatic Dental Injuries to the Permanent Anterior Teeth among 9- to 14-year-old Schoolchildren of Navi Mumbai (Kharghar-Belapur Region), India. Int J Clin Pediatr Dent 2017;10(2):177-182.


Author(s):  
Rafaela Cavalcanti AMARAL ◽  
Ivana Aguiar FERREIRA ◽  
Soraya Cristhina de Souza CAMPELLO ◽  
Ana Flávia Bissoto CALVO ◽  
Tamara Kerber TEDESCO ◽  
...  

ABSTRACT Primary teeth have an important role in the growth and development of the child, besides being important for the good performance of masticatory function, phonation, occlusion and aesthetics, are the best space maintainers and eruption guide for the permanent successor. For anterior region, there are different alternatives of rehabilitation treatment, however, it is up to the professional to choose the best option. Objective To present a therapeutic management of upper incisors affected by carious lesion with intrarradicular pin in early childhood. Case report: male patient, with 2 years and 7 months of age and significant loss of dental structure at an early stage. In the impossibility of performing direct restoration, we opted for the rehabilitation with the use of glass fiber pins for intraradicular reinforcement and composite resin restorations in order to restore shape, function and aesthetics. Conclusion The use of fiberglass intra-radicular pins associated with direct restoration of composite resin is a recommended technique for the reconstruction of anterior teeth with great destruction.


2007 ◽  
Vol 8 (6) ◽  
pp. 35-42 ◽  
Author(s):  
Pavan Baldava ◽  
Nagaraj Anup

Abstract Aim The aim of this study was to determine the prevalence of traumatic injuries to the anterior teeth and evaluate the role of anatomic risk factors in the occurrence of such injuries in a group with an assumed behavior predisposing them to trauma. Methods and Materials The study population consisted of 370 male enrollees of the National Cadet Corps (NCC) in India. Risk factors such as the socioeconomic status (SES) of parents, lip coverage, incisor overjet, and the cause and nature of trauma to anterior teeth were recorded. The Chi-square test was used for testing the association between these factors. Increasing overjet was further analyzed using chi-square for linear trends. Variables found significant were subjected to logistic regression. Results A prevalence of 14.9% of traumatic injuries to anterior teeth was found in the study population with sports activities being the most common cause. Permanent maxillary central incisors were most commonly injured with injuries involving enamel and dentin being the most frequently observed. Increased overjet and inadequate lip coverage were significantly associated with the occurrence of trauma. With an odds ratio of 7.2 inadequate lip coverage was identified, using binary logistic regression, as the single most independent risk factor for the occurrence of traumatic injury to the maxillary anterior teeth. Citation Baldava P, Anup N. Risk Factors for Traumatic Dental Injuries in an Adolescent Male Population in India. J Contemp Dent Pract 2007 September;(8)6:035-042.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 77-83
Author(s):  
Maria Anthonet Sruthi ◽  
Deepa Gurunathan ◽  
Vignesh Ravindran

Early childhood caries shows its first signs of manifestation in maxillary anterior teeth which poses as a hindrance to and may induce psychological complications in young children. Though restoration of in the primary teeth is challenging, all efforts must be taken to restore the tooth to its normal form and function. This study aims to infer a suitable treatment option exclusively for class III caries in primary teeth by comparing two restorative techniques, namely direct composite restoration and strip crowns. The database searched was Dental Information Archiving Systems and a total of 297 restorative procedures were analyzed using descriptive statistics on SPSS Software. Among 297 treatment procedures, 76.1% of the anterior teeth were restored as direct composite resin restoration and 23.9% were restored with strip crowns. Direct composite resin restoration was considerably used to restore class III caries in primary teeth. However, owing to recent trends in , strip crown restoration may be an ideal choice.


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