Cohen-Carneiro Flavio, Sponchiado Emilio Carlos, Garcia Lucas do Fonseca Roberti, Yurtsever Fikriye Viga, Pontes Danielson Guedes, Sena Amilen
Integrated Clinic, School of Dentistry, Federal University of Amazonas, Manaus, Brazil.
Gen Dent. 2013 Aug;61(5):47-9.
This study describes how periodontology, endodontology, and dentistry were integrated for the coronal reconstruction of anterior teeth extensively destroyed by dental trauma. A 15-year-old girl suffered a bicycle accident that resulted in the fracture of teeth No. 8 and 9. Clinical and radiographic examinations confirmed coronal fracture in both teeth, in addition to compromised pulp vitality, invasion of the biologic periodontal space, and loss of coronal space due to mesialization of the neighboring teeth. The protocol consisted of endodontic treatment for the fractured teeth, periodontal surgery to augment the clinical crown and gingival recontouring, intracanal cementation of esthetic glass fiber posts, and coronal reconstruction with resin composite. At a longitudinal follow-up visit 1 year later, clinical and radiographic examinations revealed successful rehabilitation of the fractured teeth.
本研究描述了如何将牙周病学、牙髓病学和牙科学整合起来，用于对因牙外伤而广泛破坏的前牙进行冠部重建。一名15岁女孩遭遇自行车事故，导致8号和9号牙骨折。临床和影像学检查证实两颗牙齿均发生冠折，此外还存在牙髓活力受损、生物性牙周间隙侵犯以及由于邻牙近中移位导致的冠部间隙丧失。治疗方案包括对骨折牙齿进行牙髓治疗、进行牙周手术以增加临床牙冠高度和牙龈重塑、在根管内粘结美观的玻璃纤维桩以及用树脂复合材料进行冠部重建。在1年后的纵向随访中，临床和影像学检查显示骨折牙齿成功修复。
