J Adhes Dent 22 (2020), No. 3 29. May 2020
J Adhes Dent 22 (2020), No. 3 (29.05.2020)
Page 249-254, doi:10.3290/j.jad.a44548, PubMed:32435765
Combined Endo-restorative Treatment of a Traumatized Central Incisor: A Five-year Follow-up
Alovisi, Mario / Tempesta, Riccardo Michelotto / Comba, Allegra / Pasqualini, Damiano / Scotti, Nicola
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.
Keywords: dental trauma, direct composite restoration, marginal relocation, permanent tooth prognosis, surgical microendodontics