title: Alternative treatment procedure in the case of fractured abutment of adhesive bridge: a clinical report.
abstract: In this case report, an alternative approach was presented for treatment of coronal fracture including pulp of maxillary central incisor, one of the abutments of an adhesive bridge, by using fiber post and tooth's own fractured component. The patient was referred to our clinic with the complaint of pain from the upper right central incisor and mobility of the adhesive bridge in maxillary anterior segment. It was realized that, the upper right central incisor, one of the abutments of the adhesive bridge, had been fractured at middle thirds of the crown including the pulp chamber. After dismounting the adhesive bridge and completion of the root canal treatment, a fiber post was placed into the fractured tooth. The fractured component, adherent to adhesive bridge retainer, was concorded to the fiber post. The whole structure was cemented with adhesive resin. A 1-mm-wide groove was made along the fracture line and restored with composite resin. The patient was evaluated clinically and radiographically at 12 and 30 months after the treatment.
  
  
  CONCLUSIONS
  Adhesive cementation of fractured component by supporting the remaining tooth structure with a fiber post is an inexpensive and conservative treatment alternative when the fractured component is compatible with the remaining tooth structure in cases of tooth fractures including the pulp chamber at anterior segment.
authors.affiliation: Department of Prosthodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey.
authors.forename: Fatma Ayşe
authors.initials: FA
authors.lastname: Sanal
authors.forename: Ahmet Umut
authors.initials: AU
authors.lastname: Güler
authors.forename: Uğur
authors.initials: U
authors.lastname: Inan
authors.forename: Oğuz Süleyman
authors.initials: OS
authors.lastname: Ozdemır
mesh_terms: D000134:Acid Etching, Dental / Q000379:methods; D000328:Adult; D002484:Cementation / Q000379:methods; D003188:Composite Resins / Q000737:chemistry; D000044:Dental Abutments; D003789:Dental Pulp Exposure / Q000628:therapy; D017220:Dentin-Bonding Agents / Q000737:chemistry; D016379:Denture, Partial, Fixed, Resin-Bonded; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries*; D010347:Patient Care Planning; D011176:Post and Core Technique / Q000295:instrumentation; D019279:Resin Cements / Q000737:chemistry; D018915:Root Canal Preparation / Q000379:methods; D019228:Tooth Crown / Q000293:injuries*; D014082:Tooth Fractures / Q000628:therapy*
chemical_list: D003188:Composite Resins; D017220:Dentin-Bonding Agents; D019279:Resin Cements