{"title":"Combined Endo-restorative Treatment of a Traumatized Central Incisor: A Five-year Follow-up.","authors":"Mario Alovisi, Riccardo Michelotto Tempesta, Allegra Comba, Damiano Pasqualini, Nicola Scotti","doi":"10.3290/j.jad.a44548","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>A 5-year follow-up showed complete healing of the periapical lesion and correct preservation of function and esthetic parameters.</p><p><strong>Conclusion: </strong>A modern minimally invasive treatment protocol allows the maximum conservation of residual dental tissues.</p>","PeriodicalId":55604,"journal":{"name":"Journal of Adhesive Dentistry","volume":"22 3","pages":"249-254"},"PeriodicalIF":2.5000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Adhesive Dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3290/j.jad.a44548","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 1
Abstract
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.
期刊介绍：
New materials and applications for adhesion are profoundly changing the way dentistry is delivered. Bonding techniques, which have long been restricted to the tooth hard tissues, enamel, and dentin, have obvious applications in operative and preventive dentistry, as well as in esthetic and pediatric dentistry, prosthodontics, and orthodontics. The current development of adhesive techniques for soft tissues and slow-releasing agents will expand applications to include periodontics and oral surgery. Scientifically sound, peer-reviewed articles explore the latest innovations in these emerging fields.
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