Direct restoration of anterior tooth affected by trauma

Fábio Sene
- Especialista, Mestre e Doutor em Dentística Restauradora (FOB/USP-SP);- Doutorado Sanduíche em Dentística Restauradora (FOB/USP-SP e University Of Missoury/School of Dentistry-EUA);- Residência em Biomateriais (University Of Missoury/School of Dentistry-EUA);- Pesquisador Associado (Kansas University/Department of Bioengineering-EUA);- Especialista em Periodontia e Prótese;- Professor Adjunto do Departamento de Odontologia Restauradora (UEL-PR);- Professor do Mestrado em Clínica Odontológica (UEL-PR);- Diretor do Instituto Sene de Odontologia – Cursos de Aperfeiçoamento e Imersão em Odontologia.

Male patient, 32.

COMPLAINT

Fracture of tooth 21 due to local trauma.

INITIAL APPEARANCE

Coronal fracture of tooth 21 involving enamel and dentin.


 

CLINICAL/X-RAY EXAM

Tooth 21 had been treated endodontically. The trauma did not cause damage to the tissues surrounding the tooth, but extensive fracture and darkening of the dental remnant was noticed.

 

TREATMENT

Since the dental remnant was extensively fractured and needed reinforcement, the installation of an intraradicular fiberglass post was carried out. With the proper anchoring, a preparation of the dental remnant was done for the direct restorative approach with composite resin.