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Published on: December 20, 2024
Current aspects of restoring traumatically fractured teeth.
Gabriel Krastl1, Andreas Filippi, Nicola U Zitzmann
1Department of Periodontology, Endodontology and Cardiology and Head of the Center of Dental Traumatology, University of Basel, Switzerland. gabriel.krastl@unibas.ch
Summary
Treating tooth fractures involves endodontic and restorative care. Immediate protective dressings are crucial, followed by fragment reattachment or composite restorations for function and aesthetics.
Area of Science:
- Dentistry
- Dental Traumatology
- Restorative Dentistry
Background:
- Tooth fractures require immediate endodontic and restorative interventions.
- Exposed dentinal tubules pose a risk of bacterial invasion into the endodontic system.
- Emergency treatment necessitates a protective dressing to seal dentinal tubules.
Purpose of the Study:
- To outline endodontic and restorative strategies for managing tooth fractures.
- To discuss techniques for restoring function and aesthetics in fractured teeth.
- To present alternatives for managing challenging crown-root fractures.
Main Methods:
- Application of protective dressings for emergency treatment.
- Reattachment of fractured tooth fragments using adhesive protocols.
- Utilizing composite materials for esthetic restorations when reattachment is not feasible.
- Employing minimally-invasive direct composite restorations, especially for immature teeth.
- Considering root extrusion (orthodontic or surgical) for subgingival crown-root fractures.
Main Results:
- Sealing the dentin wound allows for subsequent restorative treatment.
- Adhesive protocols can successfully reattach tooth fragments, restoring function and appearance.
- Modern composite materials provide excellent esthetic outcomes for complex fractures.
- Minimally-invasive direct restorations are often preferred over indirect ones.
- Root extrusion offers an alternative to surgical crown lengthening for crown-root fractures.
Conclusions:
- Effective management of tooth fractures integrates endodontic and restorative principles.
- Prompt protective measures and appropriate restorative techniques are key to successful outcomes.
- Tooth conservation, even with temporary restorations, is a successful strategy until definitive treatment options like implants are viable.
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: