Restorative Aspects in Crown Fractures
A Case Report
Didier Dietschi, DMD
This case study shows some frequent complications that occur following dental trauma, as well as various provisional and permanent treatment options for the restoration of coronal fractures. Upon reviewing this case study, the reader should:
- Have an understanding of the various classifications of crown fractures
- Demonstrate an awareness of the hard and soft tissue concerns associated with traumatic injuries
- Be able to explain the various treatment modalities available for the treatment of traumatic injuries
Crown fractures are the most common form of
traumatic dental injuries encountered in permanent dentition. Restorative
treatment modalities incorporate adhesive materials to effectively maintain
function and aesthetics. While uncomplicated injuries of the enamel and/or
dentin can be treated solely with adhesive procedures, complicated trauma that
involves pulp exposure requires the incorporation of a multidisciplinary
treatment approach. This article discusses the application of provisional and
permanent restorative options for the treatment of complications following
Stabilization, improvement, or reestablishment
of function and aesthetics in traumatized teeth (and their periodontal support)
remains a challenging endeavor, particularly when restorative procedures must
be performed in emergency situations, or within a limited period following the
trauma. Numerous lesions can occur as a result of trauma that involves the hard
tissue or -- in advanced cases -- the pulp, periodontal ligament, and bone.
Provisional and permanent treatment planning is dependent upon the extent and
severity of the dental and periodontal lesions. The long-term prognosis of
traumatized tissues requires restoration of functional integrity, tooth
vitality, and prevention of root resorption. This article discusses
the more frequent complications following traumatic injuries, as well as
various provisional and permanent treatment modalities for treatment of coronal
Therapeutic difficulties caused by mutilated
anterior teeth and traumatic loss, as well as the rising socioeconomic expense
of dental trauma, reinforce the need to increase clinicians' knowledge of
emergency primary dental care and the multidisciplinary approach in related
restorative procedures. These restorative procedures provide predictable and
functional aesthetic results that will subsequently enhance patient
satisfaction, while improving the clinician's ability to provide optimum
service and support.
*Senior Lecturer, Department of Cariology, Endodontics, and Pediatric Dentistry, University of Geneva, Geneva, Switzerland
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