Complicated Crown Fracture and Reattachment: Case Report

Authors : Betül Yazmacı, Yasemin Yavuz

Pages : 63-68

Doi:10.61139/ijdor.1499923

View : 34 | Download : 52

Publication Date : 2024-08-30

Article Type : Other Papers

Abstract :Aim: The purpose of this case report is; It offers partial amputation with calcium silicate-based biomaterial (Biodentin) to the patient who has a complicated crown fracture in the maxillary left lateral tooth as a result of trauma, and protective and aesthetic restoration of the broken tooth piece using the internal dentin groove method. Case Report: Thirty-one-year-old female patient; Three hours after the trauma, she applied to our clinic with complaints of pain and tooth fracture. According to the anamnesis, it was learned that the patient had no systemic disease. As a result of clinical, radiographic and intraoral examination, a slight luxation of the maxillary left central tooth and a complicated crown fracture of the maxillary left lateral tooth were detected. Partial amputation treatment was performed on the patient\'s maxillary left lateral tooth with calcium silicate based biomaterial. In order to provide better retention of the broken tooth fragment, the dentin tissue was removed and a groove was opened, binding agents were applied to the fracture surfaces, composite resin material was placed into the groove, the fragment was placed with the help of finger pressure and the resin was polymerized. Then, groove bevelling was performed on the fracture line and the aesthetic restoration was completed with composite resin material. Conclusion: In the treatment of crown fractures involving the pulp, partial amputation treatment with calcium silicate-based pulp capping biomaterial and reattachment treatment by removing dentin tissue from the broken part of the tooth (internal dentin groove) in order to increase retention were found to be successful.
Keywords : Kalsiyum silikat, reataçman, internal dentin oluğu