Rodríguez-Astorga América, Romo-Ramírez Gabriel, Ortiz-Magdaleno Mariné
Specialty in Aesthetic, Cosmetic, Restorative, and Implantological Dentistry, Faculty of Stomatology, Autonomous University of San Luis Potosí, San Luis Potosí, México.
J Conserv Dent. 2020 Sep-Oct;23(5):538-542. doi: 10.4103/JCD.JCD_77_20. Epub 2021 Feb 10.
This clinical report describes the rehabilitation procedure of an upper central tooth with a coronal fracture without compromising the root. The treatment plan consisted of the reinsertion of the fractured fragment as a definitive cemented biological restoration. Due to the deficient remnant, a fiber-reinforced composite post was used. The objective of this clinical case was to report the biological behavior of the enamel and dentin of a biological restoration after dental trauma. Patient satisfaction with the treatment was achieved by continuing with the same tooth and biomimetizing the fracture line with conventional composites. Controls were conducted, and 1 year after dental trauma, no color changes in dental tissues and no inflammation in periodontal and soft tissues were observed.
本临床报告描述了一颗上颌中切牙冠折但未累及牙根的修复过程。治疗方案包括将折断的碎片重新植入作为最终的粘结性生物修复体。由于剩余牙体组织不足,使用了纤维增强复合桩。本临床病例的目的是报告牙外伤后生物修复体中釉质和牙本质的生物学行为。通过保留同一颗牙齿并用传统复合材料模拟骨折线,患者对治疗感到满意。进行了对照观察,牙外伤1年后,未观察到牙体组织颜色改变,牙周和软组织也无炎症。