Multidisciplinary approach of complicated crown fractures of both superior central incisors: a case report

Dental Traumatology : Official Publication of International Association for Dental Traumatology
Anca Silvia Vâlceanu, Stefan-Ioan Stratul

Abstract

Anterior crown fractures are a common form of traumatic dental injuries that mainly affect the maxillary central incisors, in children and teenagers. Since the development of the adhesive dentistry, many case reports of crown fractures restored using adhesive reattachment techniques were published. Complex cases, in which more than one tooth are involved, with fractures differing from each other, require specific treatment of each fracture, taking different advantages of the different remaining tooth structures. This case report describes a patient with dissimilar crown fractures of both superior central incisors. After the endodontic treatment, the patient was treated using the combination of several techniques: periodontal surgery (crown lengthening with apically repositioned flap and osseous resective surgery), adhesive technique and cast restoration plus esthetic crown. The periodontal procedure re-created the biologic width and proved to be a reliable adjunctive procedure to the adhesive and the prosthetic techniques used.

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Citations

Apr 21, 2012·Dental Traumatology : Official Publication of International Association for Dental Traumatology·David Ditto Sharmin, Eapen Thomas
Sep 8, 2011·Dental Traumatology : Official Publication of International Association for Dental Traumatology·João T A F da FonsecaCarlos M Z F Ribeiro
Jun 26, 2013·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Ahmed ElkhademDerek Richards
Sep 8, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Santiago González-LópezMario Menéndez-Nuñez
Dec 24, 2014·Operative Dentistry·C M C TaguchiL N Baratieri
Jun 6, 2018·BMJ Case Reports·Nishant SinhaDileep Kishore Samarthy
Nov 12, 2020·The Journal of Prosthetic Dentistry·Iuliana Babiuc, Mihaela-Rodica Păuna

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