Multidisciplinary Treatment of a Subgingivally Fractured Tooth with Indirect Composite Restoration: A Case Report


Ulusoy A. T., Şen Tunç E., Cil F., Isci D., Lütfioğlu M.

JOURNAL OF DENTISTRY FOR CHILDREN, vol.79, no.2, pp.79-83, 2012 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 79 Issue: 2
  • Publication Date: 2012
  • Journal Name: JOURNAL OF DENTISTRY FOR CHILDREN
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.79-83
  • Keywords: CROWN-ROOT FRACTURE, ORTHODONTIC EXTRUSION, INDIRECT COMPOSITE, GLASS-FIBER POST
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

In pediatric patients, anterior teeth with fractures that extend subgingivally require a complex treatment plan that addresses biologic, esthetic, and functional factors, such as mastication and speech. The purpose of this clinical report was to describe a technique using indirect composite restoration to restore a subgingivally fractured permanent maxillary right central incisor in a 10-year-old boy. Due to the complex nature of the treatment, a multidisciplinary approach was used to restore the tooth. The crown fragment was removed, and endodontic treatment was performed. The tooth was then extruded orthodontically. A glass fiber post was placed to improve retention, and an indirect composite restoration was placed. A clinical and radiographic evaluation at a follow-up appointment 1 year later confirmed that the technique used in this case can be a good option for restoring anterior teeth with subgingival fractures.