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A Multidisciplinary Approach to Restore an Unconventional Crown Removal of Traumatized Permanent Central Incisors

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A 13-year-old female presented with traumatized maxillary central incisors that had been endodontically treated. Five years later, at a different dental office, she had the clinical crowns removed, leaving subgingival margins. From the patient's history and our initial assessment, it seemed as if the teeth had been fractured and luxated but not avulsed. Endodontic posts with spot-welded orthodontic brackets were temporarily cemented to enable orthodontic extrusion. Once access to restorable margins was obtained, the temporary posts were removed and conventional fiber posts with interim composite crowns were placed. The restorations were still satisfactory at the one-year follow-up, with a healthy periodontium, intact apical seal, and no signs of external re- sorption observed. Combined specialty treatment provided an esthetically acceptable outcome in a difficult restorative situation for a growing child. The purpose of this case report is to discuss an interim treatment until the child reaches dentofacial maturity, when definitive restorations can be provided.
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Keywords: ENDODONTICS; ORTHODONTICS; PEDIATRIC DENTISTRY; RESTORATIVE DENTISTRY

Document Type: Case Report

Affiliations: 1: Assistant professor and director of Orthodontics, in the Department of Pediatric Dentistry, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, in the USA;, Email: [email protected] 2: Staff endodontist, in the Department of Pediatric Dentistry, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, in the USA 3: Assistant professor, in the Department of Pediatric Dentistry, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, in the USA 4: Pediatric dentist in hospital clinical practice, Denver, Colo., in the USA

Publication date: January 1, 2018

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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