Fracture of upper incisors: a three-year follow-up of a multidisciplinary approach

Abstract

Multiple clinical specialties are usually needed for a successful long-term treatment in buccal cavity. The aim of this article is to report a clinical case of multi-disciplinary rehabilitation of fracture upper incisors without pulp exposure, concerning about endodontics, periodontics and restorative dentistry comments or procedures. A case of a patient reporting trauma that resulted in fracture and substantial loss of hard tissue, in mesial angle of both upper central incisors (11 and 21). In palatal side, fracture extended beyond cingulum up to subgingival region. Periodontal surgery was performed in order to reestablish biological space. Clinical and radiographic assessments demonstrated no need for endodontic treatment, since pulp was vital and non-altered. Preparations for restorative procedures were minimally invasive, followed by composite direct. A three-year follow-up was performed, consisting in re-assessment of clinical and radiographic aspects, re-polishing of the restorations and photographic documentation. No pulp tissue alteration was observed after the follow-up period. Restorative procedures, adjacent tissues and pulp vitality were considered adequate, and the patient was satisfied with the treatment.

Reabilitação de fratura coronária a partir da técnica restauradora direta / Rehabilitation of coronary fracture from the direct restoration technique

“…Compósitos resinosos podem gerar superfícies com rugosidade insatisfatória, apresentando porosidades e sem brilho, por isso o polimento das restaurações faz parte do protocolo. Além de minimizar problemas estéticos, o acabamento e o polimento tornam-se um fator de longevidade do tratamento, pois a probabilidade do acúmulo de placa e manchamento do material resinoso serão reduzidos drasticamente (CALDAS et al, 2021;MENEZES et al, 2014).…”

“…Nas consultas de acompanhamento, testes de vitalidade pulpar devem ser sempre realizados para verificar se há alguma alteração nociva à polpa. Além disso, radiografias devem ser feitas rotineiramente para avaliar a restauração e sua interação marginal com o substrato dental (CALDAS et al, 2021).…”