Predictable esthetic treatment of fractured anterior teeth: a clinical report

Abstract

Dental fractures of the permanent maxillary anterior teeth are relatively frequent accidents during childhood. Placement of direct composite restorations allows clinicians a conservative method of restoring fractured anterior teeth to the original shape and color. A methodical protocol for the restoration of a fractured maxillary left central incisor of a 7-year-old girl is presented. As a temporary treatment, pulpal protection and the use of an acetate crown with glass-ionomer cement were performed. As a definitive treatment, diagnostic waxing and a silicone matrix formed the basis for successful reconstruction of the fractured tooth with composite resin. After finishing and polishing, an esthetic and natural-looking restoration was achieved, which completely satisfied the functional and esthetic expectation of the patient and dental team.

Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach

“…The esthetic aspects of the restoration are equally important nowadays because of the high psychosocial and emotional impact on individuals' quality of life [9, 20]. …”

Management of a Multiple Dentoalveolar Trauma in Permanent Dentition with Avulsion of a Canine: A 4-Year Follow-up

“…The quality of the remaining dental structure, occlusion, and the patient's esthetic demands also impact treatment selection (19). Reattachment of the fractured original crown fragment (4) and the placement of direct composite restorations are conservative methods of restoring fractured anterior teeth to the original shape and color (20). However, complex situations in which pulp and periodontium are involved may require a further prosthetic rehabilitation in order to achieve an acceptable and definitive esthetic outcome.…”

Descoloração dentinária: aplicação de facetas Componeer®

“…Neste caso, a paciente pretendia uma melhoria da estética sem querer investir num tratamento mais dispendioso como seriam as facetas cerâmicas, mas também não querendo arriscar um tratamento com restauração em compósito e branqueamento dentário, de custo relevante e sem igual garantia estética [49][50][51][52] .…”