Coronal reconstruction following anterior teeth traumatism: multidisciplinary treatment.
This study describes how periodontology, endodontology, and dentistry were integrated for the coronal reconstruction of anterior teeth extensively destroyed by dental trauma. A 15-year-old girl suffered a bicycle accident that resulted in the fracture of teeth No. 8 and 9. Clinical and radiographic examinations confirmed coronal fracture in both teeth, in addition to compromised pulp vitality, invasion of the biologic periodontal space, and loss of coronal space due to mesialization of the neighboring teeth. The protocol consisted of endodontic treatment for the fractured teeth, periodontal surgery to augment the clinical crown and gingival recontouring, intracanal cementation of esthetic glass fiber posts, and coronal reconstruction with resin composite. At a longitudinal follow-up visit 1 year later, clinical and radiographic examinations revealed successful rehabilitation of the fractured teeth.
Integrated Clinic, School of Dentistry, Federal University of Amazonas, Manaus, Brazil.
Flavio
F
Cohen-Carneiro
Emilio Carlos
EC
Sponchiado
Lucas do Fonseca Roberti
Ldo F
Garcia
Fikriye Viga
FV
Yurtsever
Danielson Guedes
DG
Pontes
Amilen
A
Sena
D000293:Adolescent; D001642:Bicycling / Q000293:injuries; D003188:Composite Resins / Q000737:chemistry; D016556:Crown Lengthening / Q000379:methods; D003442:Crowns; D003764:Dental Materials / Q000737:chemistry; D003782:Dental Pulp / Q000293:injuries; D003793:Dental Restoration, Permanent / Q000379:methods*; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005893:Gingivoplasty / Q000379:methods; D005898:Glass / Q000737:chemistry; D006801:Humans; D007180:Incisor / Q000293:injuries*; D010347:Patient Care Planning; D010348:Patient Care Team; D010513:Periodontal Ligament / Q000293:injuries; D011176:Post and Core Technique / Q000295:instrumentation; D012390:Root Canal Therapy / Q000379:methods; D019228:Tooth Crown / Q000293:injuries*; D014082:Tooth Fractures / Q000601:surgery*
D003188:Composite Resins; D003764:Dental Materials; C009753:fiberglass
dental trauma; permanent tooth; treatment