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Combined Endo-restorative Treatment of a Traumatized Central Incisor: A Five-year Follow-up
Purpose:
The management of complicated crown-root fractures is challenging for endodontic restoration. The present case describes a patient who sustained trauma to the maxillary right central incisor.
Materials And Methods:
Clinical and radiographic examination showed a complicated crown-root fracture and incomplete root development with periapical radiolucency and inadequate endodontic treatment with overfilling. Orthograde retreatment with MTA apical closure combined with a microsurgical approach to remove of extruded material was performed. Coronal sealing was accomplished with a direct adhesive restoration and marginal relocation.
Results:
A 5-year follow-up showed complete healing of the periapical lesion and correct preservation of function and esthetic parameters.
Conclusion:
A modern minimally invasive treatment protocol allows the maximum conservation of residual dental tissues.
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