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Gen Dent ; 61(5): 47-9, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23928439

ABSTRACT

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.


Subject(s)
Dental Restoration, Permanent/methods , Incisor/injuries , Patient Care Planning , Patient Care Team , Tooth Crown/injuries , Tooth Fractures/surgery , Adolescent , Bicycling/injuries , Composite Resins/chemistry , Crown Lengthening/methods , Crowns , Dental Materials/chemistry , Dental Pulp/injuries , Esthetics, Dental , Female , Follow-Up Studies , Gingivoplasty/methods , Glass/chemistry , Humans , Periodontal Ligament/injuries , Post and Core Technique/instrumentation , Root Canal Therapy/methods
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