Apponi Roberto, Murri Dello Diago Alberto, Colombini Vittorio, Melis Giorgia
Department of Dentistry and Oral Maxillofacial Surgery, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Department of Surgical Sciences, Dental Prosthetic Division, University of Cagliari, 09121 Cagliari, Italy.
Dent J (Basel). 2021 Jan 20;9(2):13. doi: 10.3390/dj9020013.
Dental trauma are the most common reasons for dental fractures in the anterior area, they have an incidence of 5% in the population, and in permanent teeth, they are mainly caused by sports. The most involved teeth are the maxillary anterior teeth. Direct composite restorations and indirect ceramic restorations are the therapy of choice for restoring anterior teeth after fracture when is not possible to reattach the tooth fragment. The treatment options in uncomplicated coronal fractures depend on various factors such as the amount of residual dentinal enamel tissue, the relationship with the gingival profiles, and the age of the patient. The purpose of this article is to discuss the option of using direct or indirect restorative techniques in the treatment of traumatically fractured anterior teeth and to analyze the advantages and disadvantages of the two methods.
牙外伤是前牙区牙折最常见的原因，在人群中的发病率为5%，在恒牙中，主要由运动引起。受累最多的牙齿是上颌前牙。当无法重新附着牙碎片时，直接复合树脂修复和间接陶瓷修复是前牙折裂后修复的首选治疗方法。单纯冠折的治疗选择取决于多种因素，如剩余牙本质釉质组织的量、与牙龈外形的关系以及患者的年龄。本文的目的是讨论在治疗外伤性前牙折裂时使用直接或间接修复技术的选择，并分析这两种方法的优缺点。
