Direct composite coronal reconstruction of two fractured incisors: an 8-year follow-up

Dental fractures of the anterior teeth are a relatively frequent accident during childhood. However until maxillary maturation is completed, the employment of porcelain crowns is not recommended, the treatment of choice, instead, would be direct composite restoration. The procedure for restoration of two extensive superior central incisor fractures is presented. Composite crowns were customized directly over the teeth. Root canal treatment was performed in one of the pieces and subsequently a post was cemented, around which a composite core was constructed. Acetate crowns were filled with composite, adapted to the dental contour and photo cured before removal to reproduce the anatomy. After follow-up of 8 years restorations remained esthetic and fully functional.