We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
The Journal of Adhesive Dentistry



Forgotten password?


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