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A conservative bioadhesive approach to the reattachment of complicated crown fractures in permanent first molars: a case report with a 2-year followup.

Mirikar P - Case Rep Med (2012)

Bottom Line: To restore the coronal fracture with invasion of biologic width, flap surgery with osteotomy and osteoplasty localized on the fractured teeth was performed, and the tooth remnant was reattached to the crown with a self-etch adhesive system.Frank pulp exposure was treated by self-etch dentin adhesive after surface disinfection prior to sealing of the wound site.At 2-year recall, the teeth continue to be aesthetically and functionally stable with a favourable pulpal and periapical environment.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry and Endodontics, Sinhgad Dental College and Hospital, Maharashtra, Pune 411041, India.

ABSTRACT
This paper presents a clinical report demonstrating combined restorative bioadhesive treatment and prosthetic rehabilitation of uncommon type of dental injury in an eighteen-year-old female involving crown fracture of all the permanent first molars and left upper premolars due to a bicycle riding accident. To restore the coronal fracture with invasion of biologic width, flap surgery with osteotomy and osteoplasty localized on the fractured teeth was performed, and the tooth remnant was reattached to the crown with a self-etch adhesive system. Frank pulp exposure was treated by self-etch dentin adhesive after surface disinfection prior to sealing of the wound site. At 2-year recall, the teeth continue to be aesthetically and functionally stable with a favourable pulpal and periapical environment.

No MeSH data available.


Related in: MedlinePlus

Occlusal view of surgical site of fractured 16 after surface disinfection and application of bonding agent.
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fig18: Occlusal view of surgical site of fractured 16 after surface disinfection and application of bonding agent.

Mentions: In case of 16, the procedure for reattachment for the fractured distofacial cusp was performed in a similar way (Figure 18). There was loss of mesiopalatal cusp, when tooth was fractured and hence it was decided to restore the lost dental fragment with composite resin. The first increment was of microhybrid type, to be covered with a microfilled resin to attain greater surface smoothness and finish (Figure 19) [11]. These increments were photopolymerized, and the restoration finished and polished (Figure 20). Surgical site was closed with sutures (Figure 21).


A conservative bioadhesive approach to the reattachment of complicated crown fractures in permanent first molars: a case report with a 2-year followup.

Mirikar P - Case Rep Med (2012)

Occlusal view of surgical site of fractured 16 after surface disinfection and application of bonding agent.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3295587&req=5

fig18: Occlusal view of surgical site of fractured 16 after surface disinfection and application of bonding agent.
Mentions: In case of 16, the procedure for reattachment for the fractured distofacial cusp was performed in a similar way (Figure 18). There was loss of mesiopalatal cusp, when tooth was fractured and hence it was decided to restore the lost dental fragment with composite resin. The first increment was of microhybrid type, to be covered with a microfilled resin to attain greater surface smoothness and finish (Figure 19) [11]. These increments were photopolymerized, and the restoration finished and polished (Figure 20). Surgical site was closed with sutures (Figure 21).

Bottom Line: To restore the coronal fracture with invasion of biologic width, flap surgery with osteotomy and osteoplasty localized on the fractured teeth was performed, and the tooth remnant was reattached to the crown with a self-etch adhesive system.Frank pulp exposure was treated by self-etch dentin adhesive after surface disinfection prior to sealing of the wound site.At 2-year recall, the teeth continue to be aesthetically and functionally stable with a favourable pulpal and periapical environment.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry and Endodontics, Sinhgad Dental College and Hospital, Maharashtra, Pune 411041, India.

ABSTRACT
This paper presents a clinical report demonstrating combined restorative bioadhesive treatment and prosthetic rehabilitation of uncommon type of dental injury in an eighteen-year-old female involving crown fracture of all the permanent first molars and left upper premolars due to a bicycle riding accident. To restore the coronal fracture with invasion of biologic width, flap surgery with osteotomy and osteoplasty localized on the fractured teeth was performed, and the tooth remnant was reattached to the crown with a self-etch adhesive system. Frank pulp exposure was treated by self-etch dentin adhesive after surface disinfection prior to sealing of the wound site. At 2-year recall, the teeth continue to be aesthetically and functionally stable with a favourable pulpal and periapical environment.

No MeSH data available.


Related in: MedlinePlus