Complicated Crown Fracture of Permanent Incisors: A Conservative Treatment Case Report and a Narrative Review

Dental trauma may have a severe impact on the social and psychological wellbeing of a patient. Most cases of dental injuries involve anterior teeth, especially the maxillary upper incisors. Crown fractures, with or without pulp exposure, are the most common trauma in permanent dentition. There are m...

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Bibliographic Details
Published in:Bioengineering (Basel) 2022-09, Vol.9 (9), p.481
Main Authors: Radwanski, Mateusz, Caporossi, Corrado, Lukomska-Szymanska, Monika, Luzi, Arlinda, Sauro, Salvatore
Format: Article
Language:English
Subjects:
adhesive reattachment
Asymptomatic
Bioengineering
Case Report
Case reports
Composite materials
Dental pulp
Dental restorative materials
Dentin
Dentition
Enamel
Fractures
Incisors
Injuries
Physiological aspects
Psychological factors
Sodium
Success
Teeth
tooth fracture
Trauma
traumatic dental injury
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Summary:Dental trauma may have a severe impact on the social and psychological wellbeing of a patient. Most cases of dental injuries involve anterior teeth, especially the maxillary upper incisors. Crown fractures, with or without pulp exposure, are the most common trauma in permanent dentition. There are many methods of management, in which the initial state of the pulp, the time since the injury, and the presence of an accompanying injury play a key role. This case report aimed at showing a possible conservative treatment after complicated tooth fracture that consisted of partial pulpotomy followed by adhesive reattachment of the tooth fragment using a technique based on heated resin composite. Such a specific procedure represents a conservative approach to traumatic coronal lesions, providing a suitable opportunity to maintain the tooth vitality, aesthetics, and function. Indeed, reattachment of tooth fragment using a composite/adhesive is a simple technique to achieve excellent results in terms of aesthetic and function.
ISSN:2306-5354
2306-5354
DOI:10.3390/bioengineering9090481