Multidiciplinary treatment of complicated subgingivally fractured permanent central incisors: two case reports

• Published in: Dental traumatology 2008-12, Vol.24 (6), p.e61-e66
• Main Authors: Ertugrul, Fahinur, Eden, Ece, İlgenli, Tunç
• Format: Article
• Language: English
• Subjects: Acid Etching, Dental; Bisphenol A-Glycidyl Methacrylate; Child; Composite Resins; Dental Materials; Dental Pulp Exposure - therapy; Dental Pulp Necrosis - therapy; Dental Restoration, Permanent; Dentin-Bonding Agents; Dentistry; Female; Follow-Up Studies; Humans; Incisor - injuries; Male; Maxilla; Root Canal Therapy; Silicon Dioxide; Surgical Flaps; Tooth Crown - injuries; Tooth Fractures - therapy; Tooth Root - injuries; Zirconium
• ISSN: 1600-4469; 1600-9657
• DOI: 10.1111/j.1600-9657.2008.00709.x

–  Subgingival crown fractures with pulp exposure in permanent teeth present both endodontic and restorative problems with unfavorable prognosis. Numerous restorative techniques such as resin composite restorations with and without pins, crowns and reattachment of the fractured dental fragment could be listed as the treatment options. There are several successful cases in the literature where advantages of less microleakage and proper gingival biocompatibility in cases with reattachment of the tooth fragment were reported. Two cases of palatinal subgingival crown fractures are reported. Both had been restored by reattachment of the fragment and composite with the help of the flap surgery. Follow up visits (Case 1 for 4 years and Case 2 for 1 year) revealed satisfactory esthetics and function.