Crown reattachment with complicated chisel-type fracture using fiber-reinforced post.
Summary of "Crown reattachment with complicated chisel-type fracture using fiber-reinforced post."
INTRODUCTION:
Maxillary incisors and specifically their crowns are the most common teeth involved in dental trauma because of their exposed position in the dental arch. Traumatized anterior teeth require quick functional and esthetic repair. In the case of a complex crown fracture, with the necessity of endodontic treatment, fiber-reinforced posts (FRC) were used to create a central support stump to restore the dental morphology. CASE
REPORT:
A 24-year-old male patient came to the dental clinic with dental injury to the maxillary left central incisor with a chisel-type fracture that extended subgingivally with a widely open pulp chamber. The patient reported a sports injury had occurred 1 day before. Provisional reposition of the crown was completed using a composite splint and after that endodontic treatment has been performed. Two days later, a fiber-reinforced composite resin post was placed into the canal and adhesive reattachment of the fragment also completed. The tooth was prepared for a composite resin veneer in the gingival third of the vestibular surface because of a visible fracture line.
CONCLUSIONS:
The combined use of a fiber-reinforced composite resin post and the original crown fragment is a simple and efficient procedure for the treatment of traumatized anterior teeth that appears to offer pleasing esthetic and functional results that is less invasive than conventional prosthodontic treatment.
Affiliation
Clinic of Dentistry, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Journal Details
This article was published in the following journal.
Name: Dental traumatology : official publication of International Association for Dental Traumatology
ISSN: 1600-9657
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22676323
- DOI: http://dx.doi.org/10.1111/j.1600-9657.2012.01154.x
Medical and Biotech [MESH] Definitions
Bone Plates
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
Denture Precision Attachment
A precision device used for attaching a fixed or removable partial denture to the crown of an abutment tooth or a restoration. One type is the intracoronal attachment and the other type is the extracoronal attachment. It consists of a female portion within the coronal portion of the crown of an abutment and a fitted male portion attached to the denture proper. (Jablonski, Dictionary of Dentistry, 1992, p85; from Boucher's Clinical Dental Terminology, 4th ed, p264)
Monteggia's Fracture
Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.
Crown Compounds
Macrocyclic compounds analogous to CROWN ETHERS but which lack any OXYGEN atoms.
Fracture Fixation
The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.
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