AESTHETIC MANAGEMENT OF FRACTURED ANTERIORS- A CONSERVATIVE APPROACH
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 35
Abstract
PRESENTATION OF CASE Traumatic dental injuries are a common occurrence in routine dental practice. Such injuries mostly involve the anterior teeth, especially the maxillary incisors because of their vulnerable position in the dental arch1 and protrusion caused by the eruptive pattern.2 Though dental injuries usually affect a single tooth; however, road traffic accidents and sports injuries involve multiple tooth injuries.1 These traumatised anterior teeth require quick functional and aesthetic repair.3 However, aesthetic restoration of lost dental tissues of anterior teeth is a crucial challenge in restorative dentistry. Creating more conservative as well as functional and economical restorations simulating natural dental tissues is the main objective of up-to-date contemporary dentistry.4 Several factors that influence the management of coronal tooth fractures include extent of fracture, restorability of fractured tooth, soft tissue status, presence/ absence of fractured tooth fragment and its condition for use, occlusion, aesthetics, finances and prognosis.5-7 In case of anterior crown fracture involving noncomplicated enamel and dentin, minimal invasive and less time-consuming treatment options such as direct composite resin restorations compared to indirect ceramic restorations for the anterior dental aesthetics are preferred.8 However, one of the main challenges in anterior composite restorations is in establishing and reproducing the proper contour and contact form. ‘Index Technique’ using matrix system is a vital step in achieving this objective. Various matrices are available for anterior composite restorations, which can be broadly classified into flexible and rigid types. The more popular and widely used matrices are the Mylar strips (Flexible) and the Putty index (Rigid).9
Authors and Affiliations
Rupankar Dey, Priti D. Desai, Paromita Mazumdar, Laboni Ghorai
Keywords
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- EP ID EP544862
- DOI 10.14260/jemds/2018/877
- Views 69
- Downloads 0
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