title: Reinforced composite restoration following trauma to a mandibular tooth: technique and follow-up treatment.
abstract: The loss of an entire tooth in the anterior region is accompanied by impairment of esthetics, function, phonetics, and self-esteem. It is common knowledge that treatment with implants during childhood or early adolescence is not an option. Splinting of adjacent teeth during growth and development may interfere with the independent process of teeth realignment and repositioning during that phase of life. Other creative solutions must be offered, such as free-standing composite buildup restorations on compromised broken teeth or single wing/cantilevered restorations adhered to one neighboring tooth during the growth period. The positive effects of reinforced composite materials were researched and presented in the literature. Their use is clearly indicated for interim and economical restorations. Long-term follow-up on a mandibular incisor that experienced trauma, losing its clinical crown and vitality when the patient was 12 years of age, is discussed with all the various aspects of material selection, future considerations, and long-term follow-up to adulthood, when a conventional crown was prepared and delivered.
authors.affiliation: Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Faculty of Dental Medicine, Hebrew University-Hadassah, Jerusalem, Israel. amismidt@netvision, net.il
authors.forename: Ami
authors.initials: A
authors.lastname: Smidt
authors.forename: Eldad
authors.initials: E
authors.lastname: Sharon
authors.forename: Mordekhai Lipovetsky
authors.initials: ML
authors.lastname: Adler
mesh_terms: D001265:Athletic Injuries / Q000628:therapy; D002648:Child; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D003764:Dental Materials / Q000737:chemistry; D003776:Dental Porcelain / Q000737:chemistry; D017267:Dental Prosthesis Design; D005260:Female; D005500:Follow-Up Studies; D005898:Glass / Q000737:chemistry; D006047:Gold Alloys / Q000737:chemistry; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008137:Longitudinal Studies; D008334:Mandible; D016876:Metal Ceramic Alloys / Q000737:chemistry; D010347:Patient Care Planning; D011176:Post and Core Technique / Q000295:instrumentation; D012390:Root Canal Therapy / Q000379:methods; D019228:Tooth Crown / Q000293:injuries*; D014082:Tooth Fractures / Q000628:therapy*
chemical_list: D003188:Composite Resins; D003764:Dental Materials; C424544:GlasSpan; D006047:Gold Alloys; D016876:Metal Ceramic Alloys; D003776:Dental Porcelain