Aesthetic Restoration of Traumatized Anterior Teeth

Abstarct : Traumatic dental injuries occuring in anterior teeth is a frequently seen condition in children and adults. The patients are both affected physically and psychologically due to trauma. The traumatized permanent tooth is characterized both as functional impairments for the patients and as a fundamental aesthetical probleme, especially in young patients. The traumatized teeth are generally treated with fiberpost, composite build-up and crown restoration techniques just after the endodontic treatment. In these kinds of cases, the treatment method alone is not sufficient; the case should be approached in a multidisciplinary manner. By this case report, the treatment of comlicated enamel-dentin crown fracture resulting from pulp expansion due to traume that occured in a 18-years-old male patient was aimed. The fractured parts of teeth were restored with self-threading pins ((Self Threading pins TMS (Thread-Mate system)). The around of pins was enclosed with fluent composite. Afterwards, a transparent matrix band was adopted to mesial and distan edges of the teeth and was restored using composite resin (Arabesk, Voco, Germany) by layering technique. Finally, the restoration surfaces were polished with finishing discs (Sof-lex,3M ESPE,USA). The patient was evaluated 6 months later and not any fractures or discoloration were observed aesthetically. The prognisis of crown fractures is firstly depend upon periodontal ligament injury status; secondly the duration in which the pulp is left open depends upon dentin surface width and root-growth phase. The optimum treatment results depend upon urgent evaluation and care.