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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

Luted in place porcelain fused to metal prosthesis fabricated by a conservative approach to replace 24.
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Related In: Results  -  Collection


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fig25: Luted in place porcelain fused to metal prosthesis fabricated by a conservative approach to replace 24.

Mentions: Patient was recalled after seven days for suture removal. Immediate results at 7 days revealed a stable reattachment (Figures 22, 23, and 24). The tissues were undergoing healing. A conservative approach was planned for prosthetic rehabilitation of 24, with a full coverage PFM crown with porcelain facing for 25 and wings on palatal aspect of canine. Impression was made with polyvinyl siloxane impression material and self-cure acrylic resin temporaries were placed. Cementation was done with dual cure resin luting cement Calibra (Coltene Whaledent) (Figure 25) [13, 14].


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)

Luted in place porcelain fused to metal prosthesis fabricated by a conservative approach to replace 24.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig25: Luted in place porcelain fused to metal prosthesis fabricated by a conservative approach to replace 24.
Mentions: Patient was recalled after seven days for suture removal. Immediate results at 7 days revealed a stable reattachment (Figures 22, 23, and 24). The tissues were undergoing healing. A conservative approach was planned for prosthetic rehabilitation of 24, with a full coverage PFM crown with porcelain facing for 25 and wings on palatal aspect of canine. Impression was made with polyvinyl siloxane impression material and self-cure acrylic resin temporaries were placed. Cementation was done with dual cure resin luting cement Calibra (Coltene Whaledent) (Figure 25) [13, 14].

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