Resumos
INTRODUÇÃO: Uma fratura coronorradicular envolve esmalte, dentina e cemento, podendo ou não haver comprometimento pulpar. Vários tratamentos são propostos na literatura, desde a colagem do fragmento dental até a extrusão cirúrgica do fragmento remanescente. O presente trabalho descreve um caso de fratura coronorradicular com envolvimento pulpar e a abordagem multidisciplinar dada ao caso. DESCRIÇÃO DO CASO CLÍNICO: Paciente procurou tratamento odontológico por causa de um "dente quebrado". O tratamento realizado consistiu em um retalho mucoperiosteal para remoção dos fragmentos dentais, tratamento endodôntico, restauração provisória, extrusão ortodôntica, uma nova restauração e a proservação do caso. CONCLUSÃO: Em pacientes jovens, na região anterior, a extrusão ortodôntica acompanhada do tratamento restaurador é uma opção de tratamento conservador e estético.
Fratura coronorradicular; tratamento multidisciplinar; endodontia; ortodontia
INTRODUCTION: A crown-root fracture involves enamel, dentin and cementum. There may or may not be pulp involvement. Several treatments are proposed in the literature, going from a simple bond of dental fragments to surgical extrusion of the dental remaining fragments. The article describes a case of crown-root fracture with pulp involvement, and the multidisciplinary approach applied to the case. CASE REPORT: Patient required dental treatment due to a "broken tooth". The treatment consisted in a mucoperiosteal flap to remove dental fragments, endodontic treatment, temporary restoration, orthodontic extrusion, a new restoration, and the follow-up of the case. CONCLUSION: While treating the anterior teeth of young patients, the orthodontic extrusion accompanied by restorative treatment is the most conservative and aesthetic option of treatment.
Crown-root fracture; multidisciplinary treatment; endodontics; orthodontics
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Datas de Publicação
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Publicação nesta coleção
08 Fev 2013 -
Data do Fascículo
Out 2012
Histórico
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Recebido
20 Fev 2012 -
Aceito
30 Mar 2012