Goenka P, Marwah N, Dutta S
Department of Pedodontics and Preventive Dentistry, Government Dental College, Rohtak, Haryana, India.
J Indian Soc Pedod Prev Dent. 2010 Jul-Sep;28(3):223-9. doi: 10.4103/0970-4388.73791.
Anterior crown fractures are a common form of injury that mainly affect children and adolescents. The position of maxillary incisors and their eruptive pattern carries a significant risk for trauma. In the pre-adhesive era, fractured teeth needed to be restored either with pin-retained inlays or cast restorations that sacrificed healthy tooth structure and were a challenge for clinicians to match with adjacent teeth. The development of adhesive dentistry has allowed dentists to use the patient's own fragment to restore the fractured tooth. Three cases are presented here with complicated crown fracture of maxillary central incisors; the reattachment of the fractured tooth segment in this case has been performed using different combinations of techniques, viz. simple reattachment, circumferential bevel and internal dentinal groove.
前牙冠折是一种常见的损伤形式,主要影响儿童和青少年。上颌切牙的位置及其萌出方式使其遭受创伤的风险很高。在粘结技术出现之前的时代,折断的牙齿需要用桩核嵌体或铸造修复体进行修复,这会牺牲健康的牙齿结构,并且临床医生很难使其与相邻牙齿相匹配。粘结牙科的发展使牙医能够利用患者自身的碎片来修复折断的牙齿。本文介绍了三例上颌中切牙复杂冠折的病例;在这些病例中,使用了不同技术组合进行折断牙段的重新附着,即简单重新附着、环形斜面和内部牙本质沟。