Predictable esthetic treatment of fractured anterior teeth: a clinical report

Authors: Sakai, Vivien Thiemy; Anzai, Andrea; Silva, Salete Moura Bonifácio; Santos, Carlos Ferreira; Machado, Maria Aparecida Andrade Moreira

Source: Dental Traumatology, Volume 23, Number 6, December 2007 , pp. 371-375(5)

Publisher: Wiley-Blackwell

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Abstract:

Sakai VT, Anzai A, Silva SMB, Santos CF, Machado MAAM. Predictable esthetic treatment of fractured anterior teeth: a clinical report. Abstract - 

Dental fractures of the permanent maxillary anterior teeth are relatively frequent accidents during childhood. Placement of direct composite restorations allows clinicians a conservative method of restoring fractured anterior teeth to the original shape and color. A methodical protocol for the restoration of a fractured maxillary left central incisor of a 7-year-old girl is presented. As a temporary treatment, pulpal protection and the use of an acetate crown with glass-ionomer cement were performed. As a definitive treatment, diagnostic waxing and a silicone matrix formed the basis for successful reconstruction of the fractured tooth with composite resin. After finishing and polishing, an esthetic and natural-looking restoration was achieved, which completely satisfied the functional and esthetic expectation of the patient and dental team.

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