Hybrid Richmond crown - A novel technique for reattachment of complicated fractured crown segment: A case report
Journal Title: International Journal of Applied Dental Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background: Maxillary central incisor is most commonly affected tooth during trauma followed by maxillary lateral incisor and mandibular incisors. Trauma to the anterior tooth requires urgent care because of essentiality of preserving natural tooth. When complicated crown fracture occurs it necessitates endodontic treatment and restoration of fractured crown segment with post in the canal. Case-report: A male patient of age 18 years reported to the S.B. Patil Dental Hospital, Bidar for dental trauma to the maxillary left central incisor with pulp exposed but palatal tooth structure holding the fractured crown segment. Patient had fight with his colleague one day before and suffered a blow onto his front tooth. Fractured crown segment removed and stored in normal saline. Two visit root canal treatment planned and performed. After two days, post space prepared, indirect impression with putty light body taken for indirect post. Then appropriate glass fiber post selected and para core composite added onto the post to get custom-fit conical post. Putty with light body impression taken to get cast with post space in which conical post checked for snugly fit. Now Modified conical post bonded to fractured crown segment using resin cement and the whole unit resembling Richmond crown, referred to as Hybrid Richmond crown bonded into the root canal using resin cement. Minute visible cracked line labially and palatally restored with direct composite veneering. After 12 months follow-up shows healthy tooth structure and surrounding tissue. Conclusion: Here a special technique of crown fracture reattachment documented (Hybrid Richmond crown) – in which custom made conical glass fiber post attached to fractured crown segment and bonded into the root canal using resin cement which gives Monoblock effect. The case represents better transfer and distribution of forces along the long axis of tooth and also long term survival of the tooth.
Authors and Affiliations
Dr. Deshpande Prashanth, Dr. Rutika R Naik, Dr. K Shashikala, Dr. Kirankumar Metta, Dr. Prashanth BR
Keywords
Related Articles
- EP ID EP511810
- DOI -
- Views 109
- Downloads 0
C-Shaped configuration of the root canal system of mandibular second molar: A case report
The successful endodontic management needs proper knowledge about aberrant root canal systems. Appropriate mode can be selected depending upon this morphology. The C shaped canal is a special feature of some lower second...
A comparative evaluation of fractured resistance of custom made Post and everStickPOST system in endodontically treated teeth- An in vitro study
Purpose: The aim of the study is to evaluate the fracture resistance of an endodontically treated teeth restored with custom made and everstick post and core systems. Methods: Twenty extracted premolar teeth with similar...
The lone standing abutment: A case report
Pier abutment is characterized by a lone standing abutment with edentulous regions on either side of it. The goal of this case report is to discuss the use of key and keyway, a type of non-rigid connector to rehabilitate...
Comparison of cyclic fatigue resistance of old and new generation one shape NiTi instruments
The aim of the present study was to compare and evaluate the resistance of old and new generation One Shape single file systems that work with continuous rotation to cyclic fatigue under a dynamic model. Twenty pieces of...
Effectiveness of dental health education using cartoons video showing method on knowledge and oral hygiene of deaf children in Yayasan Karya Murni Medan
World Health Organization (WHO) in 2007 estimated the number of children with disability in Indonesia approximately 7 % of the total number of children aged 0-18 years. Childrens with disability like deaf children have d...