title: Recovering the function and esthetics of fractured teeth using several restorative cosmetic approaches. Three clinical cases.
abstract: The teeth most commonly affected by trauma are the maxillary central incisors. The most frequent types of traumatic dental injuries to permanent teeth are enamel fractures, enamel and dentine fractures, and enamel and dentine fractures with pulp involvement. This article describes three clinical cases with different levels of traumatized maxillary incisors and several cosmetic approaches for recovery of the esthetics and the masticatory function, as well as the social/psychological aspects of treatment. All cases involved young adult men. The three clinical cases involve dentin and enamel fractures, dentin and enamel fractures with pulp exposure, and dentin and enamel fractures with pulp exposure associated with root fracture. The cosmetic treatments used to resolve fractures were direct composite resin by layering technique, indirect all-ceramic restorations (laminate veneer and ceramic crowns over the teeth), and immediate implant after extraction followed by immediate loading (ceramic abutments with ceramic crown over implant). In all three cases, excellent functional and esthetic results were achieved by use of these treatment modalities. The patients were very satisfied with the results.
authors.affiliation: Faculty of Dentistry of Araçatuba, Department of Dental Materials and Prosthodontics, São Paulo State University-UNESP, Araçatuba, SP, Brazil. rodolfoanchieta2@hotmail.com
authors.forename: Rodolfo B
authors.initials: RB
authors.lastname: Anchieta
authors.forename: Eduardo P
authors.initials: EP
authors.lastname: Rocha
authors.forename: Maurício U
authors.initials: MU
authors.lastname: Watanabe
authors.forename: Erika O
authors.initials: EO
authors.lastname: de Almeida
authors.forename: Amilcar C
authors.initials: AC
authors.lastname: Freitas-Junior
authors.forename: Ana P
authors.initials: AP
authors.lastname: Martini
authors.forename: Sônia R P
authors.initials: SR
authors.lastname: Barioni
mesh_terms: D000328:Adult; D003442:Crowns; D003743:Dental Enamel / Q000293:injuries; D019250:Dental Implants, Single-Tooth; D003789:Dental Pulp Exposure / Q000209:etiology* / Q000628:therapy; D003793:Dental Restoration, Permanent / Q000379:methods; D003801:Dental Veneers; D003804:Dentin / Q000293:injuries; D004955:Esthetics, Dental; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008437:Maxilla; D019228:Tooth Crown / Q000293:injuries*; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000150:complications / Q000534:rehabilitation*; D014092:Tooth Root / Q000293:injuries*; D055815:Young Adult