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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

Intraoral periapical radiograph with 36 at 2-year followup. No significant pulpal or periapical changes.
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Related In: Results  -  Collection


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fig30: Intraoral periapical radiograph with 36 at 2-year followup. No significant pulpal or periapical changes.

Mentions: A follow-up examination of periodontal, pulpal, and occlusal status for a period of two years was done. Radiographic examination revealed no significant pulpal or periapical changes (Figures 28, 29, 30, and 31). No alterations that could jeopardize the treatment were observed at the periodontium. The teeth continue to be in functional and aesthetic harmony (Figures 32 and 33).


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)

Intraoral periapical radiograph with 36 at 2-year followup. No significant pulpal or periapical changes.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig30: Intraoral periapical radiograph with 36 at 2-year followup. No significant pulpal or periapical changes.
Mentions: A follow-up examination of periodontal, pulpal, and occlusal status for a period of two years was done. Radiographic examination revealed no significant pulpal or periapical changes (Figures 28, 29, 30, and 31). No alterations that could jeopardize the treatment were observed at the periodontium. The teeth continue to be in functional and aesthetic harmony (Figures 32 and 33).

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