An integrated approach of a traumatized central incisor – a case report
DOI:
https://doi.org/10.22456/2177-0018.54903Keywords:
Trauma, Aesthetics, Composite resins, EndodonticsAbstract
OBJECTIVES: Dental trauma can promote many consequences to dental structure, such as crown, root and surrounding tissues, that depend on the type of trauma. The objective of this case report is to present an integrated approach in a case of dental trauma with endodontic involvement restored with composite resin associated with intracanal fiber post. CASE REPORT: A 12 years-old patient came to dental care service after a dental trauma episode regarding teeth 21 and 22, being 22 presenting a fail restoration already and 21 presenting extensive fracture and endodontic treatment needs. Tooth 21 showed 2 canals, coronal and root malformation and a mesial perforation. After endodontic treatment and all canals filled, a glass fiber post was luted in the main canal followed by a direct composite restoration. CONCLUSIONS: Therefore, based on this treatment planning, we could rehabilitate the smile of the patient, restoring the shape, function and aesthetics in a conservative way.Downloads
References
ALTUN, C.: TOZUM, T.F.; GUVEN, G. Multidisciplinary approach to the rehabilitation of a crown fracture with glass-fibre-reinforced composite: a case report. J Can. Dent. Assoc, Ottawa v. 74, no. 4, p.363-366, May. 2008.
BITTER, K.; KIELBASSA, A.M. Post-endodontic restorations with adhesively luted fiber-reinforced composite post systems: a review. Am J dent, Memphis V. 20, no.6, p 353-360, Dec. 2007.
CARDOSO, M.; DE CARVALHO ROCHA, M.J. Traumatized primary teeth in children assisted at the Federal University of Santa Catarina, Brazil. Dent traumatol, Copenhagen V.18, no. 3, p. 129-133, May. 2002.
CONCEIÇÃO, A.B; CONCEIÇÃO, E.N. Emprego dos pinos de fibra em Odontologia. In: COELHO-DE-SOUZA, F.H, (Ed.). Tratamentos clínicos integrados em Odontologia. Rio de Janeiro, Brasil: Revinter, 2012. Cap 16 – Emprego dos pinos de fibra em odontologia, p 287-304.
DA SILVA, N.R; RAPOSO, L.H; VERSLUIS, A; FERNANDES-NETO, A.J; SOARES, C.J. The effect of post, core, crown type, and ferrule presence on the biomechanical behavior of endodontically treated bovine anterior teeth. J prosthet dent, St. Louis V. 104, no. 5, p. 306-317, Nov. 2010.
D'ARCANGELO, C.; DE ANGELIS, F.; VADINI, M.; ZAZZERONI, S.; CIAMPOLI, C.; D'AMARIO, M. In vitro fracture resistance and deflection of pulpless teeth restored with fiber posts and prepared for veneers. J endod, Baltimore v. 34, no. 7, p. 838-841, Jul 2008.
GARBIN, C.A.; SPAZZIN, A.O.; MEIRA-JUNIOR, A.D.; LORETTO, S.C.; LYRA, A.M.; BRAZ, R. Biomechanical behaviour of a fractured maxillary incisor restored with direct composite resin only or with different post systems. Int endod j, Oxford v.43, no. 12, p. 1098-1107, Dec 2010.
MELLO-MOURA, A.C.; BONINI, G.A.; SUGA, S.S.; NAVARRO, R.S.; WANDERLEY, M.T. Multidisciplinary approach on rehabilitation of primary teeth traumatism repercussion on the permanent successor: 6-year follow-up case report. J Indian Soc Pedod Prev Dent v. 27, no.2, p. 125-130, Apr-Jun 2009.
NAHSAN, F.P.; MONDELLI, R.F.; FRANCO, E.B.; NAUFEL, F.S. UEDA, J.K.; SCHMITT, V.L.; BASSEGIO, W. Clinical strategies for esthetic excellence in anterior tooth restorations: understanding color and composite resin selection. J appl oral sci, v. 20, no. 2, p. 151-156, Mar. 2012.
NOTHDURFT, F.P.; SEIDEL, E.; GEBHART, F.; NAUMANN, M.; MOTTER, P.J.; POSPIECH, P.R. The fracture behavior of premolar teeth with class II cavities restored by both direct composite restorations and endodontic post systems. J dent, Guildford v. 36, no. 6, p. 444-449, Jun 2008.
SALAMEH, Z.; SORRENTINO, R.; OUNSI, H.F.; SADIG, W.; ATIYEH, F.; FERRARI, M. The effect of different full-coverage crown systems on fracture resistance and failure pattern of endodontically treated maxillary incisors restored with and without glass fiber posts. J endod. Baltimore v.34, no.7, p.842-846, Jul 2008.
SIQUEIRA, M.B.; GOMES, M.C.; OLIVEIRA, A.C.; MARTINS, C.C.; GRANVILLE-GARCIA, A.F.; PAIVA, S.M. Predisposing Factors for Traumatic Dental Injury in Primary Teeth and Seeking of Post-trauma Care. Braz dent j, Ribeirão preto v. 24, no. 6, p. 647-654, May 2013.
SUSHIL, K.C.; RAO, A.; SHEILA, K.; HANUMANTH, R.G. Multidisciplinary Approach in Management of Fractured Central Incisor through Composite Plug Stabilization - A Case Report. J int oral health, Ahmedabad v. 5, no. 1, p. 79-82, Jan-Feb 2013.
TSURUMACHI, T,; MATSUMOTO, S.; KOBAYASHI, Y.; OHARA, K.; SUZUKI, Y.; OGISO, B. Esthetic and endodontic management of a deep crown-root fracture of a maxillary central incisor. J oral sci, Tokyo v.54, no. 4, p. 359- 362, Dec. 2012.
Downloads
Published
How to Cite
Issue
Section
License
All articles published in this journal adhere to Creative Commons License Attributions 4.0 (CC BY 4.0), and its use must be ruled by its licensed means. Authors are allowed to agree to additional and separate contracts for the non-exclusive distribution of the article published in this journal, such as publishing in an institutional repository, as long as the article has a recognition of authorship and first publication in this journal.