Civitali Dental and Prosthetic Center srl

Traumatic fracture of an incisor

 

Fracture of a central incisor. Conservative treatment.


The case shows a fracture affecting a superior front tooth.

After a car accident, a direct trauma has provoked the fracture of the crown of the left superior central incisor.


The fragment was recovered and the patient presented to observation 30 hours after the accident.


The fragment was not kept in any wet environment (physiologic solution, milk, water) so it was completely dehydrated.

Objective examination showed a complicated coronal fracture, since pulp was exposed.

In lucky cases, when the traumatized patient recovers the tooth fragment, this can be repositioned in place through techniques exploiting adhesives, which are minimally invasive and guarantee very good functional and aesthetic results.


The fragment, after being re-hydrated properly, was repositioned in place with adhesive cement. The exposed pulp was treated with direct capping the technique with adhesive materials. The tooth recovered integrity.

Controls over time are fundamental to assess vitality of the dental pulp.



The central superior incisor fracture

Magnified vision showing the ample loss of dental tissue

The pulp may be observed (pink color visible in transparency)

At the end of the repositioning through adhesives

The tooth fragment, recovered after the accident

Same, open mouth

At the end of the repositioning through adhesives

The tooth fragment, recovered after the accident