A Conservative Approach to the Management of a Dental Trauma for Immediate Natural Esthetics

Abstract

Introduction: The fracture of front teeth is one of the routine presentations of traumatic injuries. The treatment of a fractured tooth involving the pulp includes root canal therapy and post placement followed by core build-up or by the extraction of the fractured tooth if it is not restorable.

Case presentation: We report a case of an adult male who had traumatized both his maxillary central incisors following a blow experienced during domestic violence. He had lost a fractured fragment of the right central incisor, while the left incisor had complicated fractures with fragments retained attached to the soft tissue. Following radiovisiography (RVG), both incisors were conservatively treated in a single visit by reattachment and post and core techniques.

Conclusions: The treatment reported for reattachment of the tooth fractures and post and core techniques are reasonably easy while providing immediate and lasting results in patients' regaining of social confidence and functionality.

Keywords: Composite Resins; Esthetics; Tooth Fractures; Wounds and Injuries.

Figure 1.. Preoperative Photographs and Radiograph

A, Preoperative photograph of both fractured maxillary central incisors; B, Preoperative radiograph revealing fracture of both maxillary central incisors; C, Removed fractured fragment of left maxillary incisor; D, Left maxillary incisor after removal of fractured fragment.

Figure 2.. Operative and Postoperative Photographs and Radiograph

A and B, Reattachment of fractured fragment of left central incisor; C, Post space preparation and post placement of right central incisor; D, Postoperative radiograph; E, Postoperative photograph; F, Clinical examination done at follow-up after 5 years and 4 months revealed a stable reattachment of the fragment and good esthetics.