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.

Combined endo-restorative treatment of a traumatized central incisor: A five-year follow-up

Comba A.;
2020

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.
2020
Alovisi M.; Tempesta R.M.; Comba A.; Pasqualini D.; Scotti N.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/774606
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