Functional-aesthetic treatment of crown fracture in anterior teeth with severe crowding

Resumo

Traumatic injuries are usually the result of impacts
whose aggressive strength exceeds the resistance found in bone,
muscle and tooth tissues. With the advent of the etching technique
and considering the improvement of composite resins, simpler
and more conservative alternatives are indicated in the aesthetic
and functional rehabilitation of fractured anterior teeth. Case
report and objective: This study aimed to report the treatment
of a 13 year-old patient that fractured his central incisor due to a
trauma. After clinical and radiographic examination, an oblique
crown fracture with extensive involvement of the incisal angle,
without pulp exposure or injury to the biological space of the left
maxillary central incisor (tooth #21) was observed. Because the
fractured tooth fragment was lost, it was not possible to process a
fragment bonding. Thus, it was proposed to treat the tooth through
direct technique restoration with composite resin. Conclusion: It
can be concluded that the aesthetic and functional rehabilitation
with direct composite resin is a viable option for the conservative
treatment of fractured anterior teeth.