Direct restorative techniques for fractured anterior teeth in pediatric patient
DOI:
https://doi.org/10.11606/issn.2357-8041.clrd.2021.185355Keywords:
Permanent dental restoration, Dental aesthetics, Composite resinsAbstract
Dental trauma (DT) can compromise teeth, periodontium, and soft tissues. Fairly common among children and teenagers, DT is a public health problem worldwide, for its high prevalence on upper central incisors can trigger functional, aesthetic, and psychosocial issues in patients. Several approaches are possible for properly treating DT, such as the direct restoration using resin-based composite (RC). This study aimed to report and discuss two restorative techniques using RC in an 8-years old male child with upper anterior teeth fractured due to DT, including coronal fracture involving enamel and dentin in the right maxillary central incisor, and only enamel in the right maxillary lateral incisor. The restoration was performed using adhesive system (AS) and RC under relative isolation of the operatory field. Due to the large fractured area in the right maxillary central incisor, a silicon guide was previously prepared based on a waxing model to facilitate the reestablishment of the lingual surface form and anatomy. Having had a smaller fractured area, the right maxillary lateral incisor was restored using the direct free-hand technique. In this clinical case, enamel and detin were restored by incremental filling technique with different resin opacities. In the follow-up clinical evaluation, the patient, relatives, and dental clinicians reported satisfactory functional and aesthetic outcomes.
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Copyright (c) 2021 Danielle Liêda Cunha Fróes, Débora Maria Pelisson Lourenço, Carolina Alves Andrade, Flávia Barroso Castelani, Helouise Abreu Laffayett, Lucas Fernando Oliveira Tomáz Ferraresso, João Felipe Besegato, Sueli de Almeida Cardoso, Márcio Grama Hoeppner
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