title: Predictable esthetic treatment of fractured anterior teeth: a clinical report.
abstract: Dental fractures of the permanent maxillary anterior teeth are relatively frequent accidents during childhood. Placement of direct composite restorations allows clinicians a conservative method of restoring fractured anterior teeth to the original shape and color. A methodical protocol for the restoration of a fractured maxillary left central incisor of a 7-year-old girl is presented. As a temporary treatment, pulpal protection and the use of an acetate crown with glass-ionomer cement were performed. As a definitive treatment, diagnostic waxing and a silicone matrix formed the basis for successful reconstruction of the fractured tooth with composite resin. After finishing and polishing, an esthetic and natural-looking restoration was achieved, which completely satisfied the functional and esthetic expectation of the patient and dental team.
authors.affiliation: Bauru School of Dentistry, University of São Paulo, Bauru, Sao Paulo, Brazil.
authors.forename: Vivien Thiemy
authors.initials: VT
authors.lastname: Sakai
authors.forename: Andrea
authors.initials: A
authors.lastname: Anzai
authors.forename: Salete Moura Bonifácio
authors.initials: SM
authors.lastname: Silva
authors.forename: Carlos Ferreira
authors.initials: CF
authors.lastname: Santos
authors.forename: Maria Aparecida Andrade Moreira
authors.initials: MA
authors.lastname: Machado
mesh_terms: D000180:Acrylic Resins / Q000627:therapeutic use; D002648:Child; D003188:Composite Resins / Q000627:therapeutic use; D003793:Dental Restoration, Permanent / Q000379:methods*; D003794:Dental Restoration, Temporary / Q000379:methods; D005260:Female; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging / Q000293:injuries*; D011140:Polyurethanes / Q000627:therapeutic use; D011859:Radiography; D014082:Tooth Fractures / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D000180:Acrylic Resins; C029012:Composite Dental Resin; D003188:Composite Resins; D011140:Polyurethanes