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Immediate temporization of a fractured endodontically-treated anterior tooth

From Volume 46, Issue 11, December 2019 | Pages 1083-1085

Authors

Ayman Jalal Al Oulabi

BDS, MFDS RCSEd, FRACDS

Postgraduate student, Prosthodontics Unit

Articles by Ayman Jalal Al Oulabi

Tahir Yusuf Noorani

DDS, MResDent, FRACDS, Lecturer

Senior Lecturer, Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kota Bharu, Kelantan, Malaysia.

Articles by Tahir Yusuf Noorani

Email Tahir Yusuf Noorani

Article

Traumatic injuries are not uncommon in dental practice. They are one of the principal causes of emergency treatment, especially when trauma is associated with anterior teeth. The consequences of dental trauma involves tooth structure loss that can be associated with pain, discomfort, appearance concern and a negative psychological impact on the patient. Management of patients with fractured endodontically-treated crowned teeth may require immediate temporary management. In cases when the tooth is restorable, the tooth may require further treatments, like re-endodontic treatment, crown lengthening or orthodontic extrusion, to expose the fractured margin and establish a ferrule. Hence, the described technique can be successfully applied to establish aesthetics and coronal seal during the course of treatment. Meanwhile, in cases when the tooth is non-salvageable, it will require extraction. However, the patient may hope to retain the tooth because, psychologically, he/she is not yet prepared to accept an extraction. Hence, appropriate temporization becomes important.

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