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Multidisciplinary management of an enamel–dentine crown fracture with insufficient inter-occlusal restorative space: A case report Matthew Giudici Andrew Flett Andrew Legg Dental Update 2024 49:9, 707-709.
Dental trauma occurs commonly in young patients, can be complex to treat and can have negative psychological and social impacts on patients' lives. This case report outlines a multidisciplinary team approach to restoration of a traumatized anterior tooth with delayed presentation, insufficient inter-occlusal space for restoration and history of multiple failed restorations. This case report demonstrates orthodontic and restorative techniques for the management of insufficient inter-occlusal space and the indirect restoration of a traumatized anterior tooth.
CPD/Clinical Relevance: A multidisciplinary team approach can be used to reorganize a patients' occlusion to provide the inter-occlusal space required to provide restorations.
Article
Dental trauma is usually caused by an impact to the teeth and other hard and soft tissues of the oral cavity and facial skeleton.1 This is usually an unexpected, or accidental injury requiring emergency treatment and is most commonly seen during childhood with up to 3% of the population experiencing a dental injury before adulthood.2 At young ages, dental trauma is mostly related to falls, but as age increases, other factors, such as sport and road traffic accidents, begin to take precedence. Between the ages of 7 and 18 years, 8% of dental trauma injuries are related to sports.3 The incidence of dental trauma is also higher for males than it is for females of the same age.1,4 This has often been attributed to larger male participation in contact sports and increased high-risk behaviours.
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