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Use of quartz fiber post for reattachment of complex crown root fractures: A 4-year follow-up

机译:使用石英纤维桩修复复杂的冠根骨折:4年的随访

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Dental hard tissue trauma is among the most common cases encountered in dental practice. Simple tooth fractures, which occur due to sharp blows, are widely seen in all age groups, especially in young adults. If in case of complex fractures the fractured tooth fragments are available to the dentist in a clean and hydrated state, reattachment of the tooth fragment is the most conservative and biological treatment option possible. Cases of enamel and dentin fractures not involving pulp are treated by reattaching the fragment with adhesives and composite resin. However, fractures involving the pulp require reinforcement by quartz fiber posts and resin luting cement. In cases of fractures extending subgingivally, an envelope flap helps to achieve the desired isolation and visibility. This article presents 2 case reports of reattachment of fractured tooth fragments. The first case showing a 4-year success was treated without raising a flap. The second case with a subgingival fracture was treated by raising a flap. Reattachment is the most economical, biologically acceptable and esthetic restorative option for dental trauma.Keywords: Crown root fractures, fiber post, reattachment
机译:牙科硬组织创伤是在牙科实践中遇到的最常见的情况。在所有年龄段中,尤其是年轻人中,由于锋利的打击而发生的简单牙齿骨折普遍存在。如果在复杂的骨折情况下,骨折的牙齿碎片可以清洁和水合的状态提供给牙医,那么重新附着牙齿碎片是最保守和生物学的选择。不涉及牙髓的牙釉质和牙本质骨折病例可以通过用粘合剂和复合树脂重新附着碎片来治疗。但是,涉及纸浆的裂缝需要用石英纤维桩和树脂胶合水泥来加固。如果骨折延伸至龈下,则包膜瓣有助于实现所需的隔离度和可见度。本文介绍了2例重新附着断裂的牙齿碎片的病例报告。首例显示成功4年的病例在未抬高皮瓣的情况下接受了治疗。通过抬高皮瓣治疗第二例龈下骨折。重新连接是治疗牙齿创伤的最经济,生物学上可接受且最美观的修复方法。关键词:牙冠根骨折,纤维桩,重新连接

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