Virtual dental expo

Check Page Ranking

Home
Dental tourism
Conferences
Dental books
Bad breath
Kids caries
Smoking effects
Patient info
Dental Videos
Wisdom tooth
Diabetes
Drugs of choice
Endo tips    Better Endo    Endo abstracts    Endo discussions

Complicated crown fracture - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Marga Ree
To: ROOTS
Sent: Thursday, August 16, 2007 9:35 PM
Subject: [roots] Complicated crown fracture

This little 8 yo boy was referred to me because he sustained a trauma 
last year, at which he had a (un?)complicated crown fracture on tooth 11. 
His dentist tried to restore the tooth, but as you can see on the first 
rad, he didn't succeed to make a well sealing restoration, the cervical 
part of the fracture was not addressed. After a few months, he developed 
symptoms, a sinus tract appeared, and he was referred for an endo, still 
with the failing restoration in place.

I thought it didn't make sense to refer him back to his dentist to have 
the resoration replaced (why didn't he do a proper job right from the start), 
so we decided to do the restoration first, and then do the endo with MTA.

After a gingivectomy, I packed a cord, and was able to keep a dry field. 
A BU was placed, and the tooth was ready for an endo. Ca(OH)2 as interim 
dressing, next session MTA, and at third session, the case was finished by 
placing a post. The gingiva looked already better, although it is difficult 
to clean the site.

I used LuxaCore to do the BU, this is not a proper material to serve as a 
cosmetic restoration for a long time. You can see that it is a bit gray, 
but for the time being, it does the job. What I sometimes do is make a 
veneer of a microfill composite in the core material. I decided to wait 
for the first follow-up to see what it would look like. If necessary,
orthodontic extrusion can be executed, and probably he will need a veneer 
in the future - Marga

complicated crown fracture

complicated crown fracture Dear Marga A very nice result indeed. Can I just ask: What was the final apical size? Did you use a periapical matrix? How did you condense the mta apically? And finally do you find it easier to veneer at the chairside with microfill rather than have a laboratory veneer made and fitted. Personally I have been using Gradia composite veneers(laboratory constructed)recently an I find it easier to fit the veneer at a further appointment. Admittedly it is an extra visit but I am interested in your technique. - Jan Skrybant

Searching for MB2

Implants #18, #19

Nice retrofil

Molars with lesions

Tooth #4

Apex locators

Large Apex

Access pictures

Lower incisor retreatment

Horror case

porcelain onlay

Conservative access

Peri radicular healing

Beautiful cases

Resilon cases

Unusual Apex

Noemi cases

2 upper molars

2 Anterior teeth

Tooth #35

Anecrotic molar

Direct capping

Molar cracks

Obstructed buccals

File broken in tooth

Separated instrument

Delta

Dental Products

Dental videos

2 year trauma

Squirt on mesials

dens update

Palatal root exits

Color map 3

Middle mesial

Continuous pain

Anterior MTA

Previous trauma

Ideal case

Dens Evaginitis