Topic > Restoration of anterior aesthetics using the template method

Dentoalveolar fracture is the most common form of trauma. Dental trauma can occur as a result of a sports accident, an altercation, a fall inside the home, or other causes. Traumatic injuries to the teeth and their supporting tissues usually occur in children and adolescents, and the damage can range from enamel fracture to avulsion, with or without pulp involvement or bone fracture. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Anterior crown fractures are a common form of injury. Simple fracture of the crown of permanent teeth has an intense effect not only on the patient's appearance, but also on function and speech. Treatment for dental injuries depends on the type of injury and whether the damaged tooth is primary (infant) or permanent (adult). Prompt treatment is essential to the long-term health of a damaged tooth. The case report describes an innovative technique to restore a fractured maxillary anterior tooth without complications in a young patient with direct composite, which is economical and requires less chair time. Case Report: A 12-year-old boy was referred to the Department of Pediatric Dentistry for treatment of a fractured upper anterior tooth with cosmetic concerns. The patient reported a trauma that occurred 6 days ago due to a fall to the ground while running. Clinical examination revealed an Ellis class II (uncomplicated) fracture irt 11 and Ellis class I with 21. The teeth were asymptomatic without any associated soft or hard tissue injury to the supporting tissues and responded to the Electric Pulp Tester indicating the tooth as vital. Intraoral periapical radiography confirms the absence of pulpal or periapical pathology. It was therefore decided to restore the fractured segment using the direct composite restoration technique. The preliminary impression of the upper and lower arch was made with fast alginate(). Study models were made in dental plaster() and a simulated preparation of the lost tooth structure was performed with modeling wax(). After constructing the crown, the model was duplicated using the putty impression material model. The labial surface of the putty template was removed up to the middle third of the crown, to facilitate the reconstruction of the lost tooth structure. Grooves were made on the labial aspect and unsupported enamel was removed. A clinical test of the model was performed to ensure adequate fit. After appropriate color selection of the composite material, this crown former was used to quickly restore the fractured tooth with minimal post-restoration finishing. Discussion: Trauma resulting in fracture of a permanent incisor is a tragic experience for the young patient and creates a psychological impact on both parents and children.1 If the injury results in the loss of extensive tooth structure, it alters the appearance of the child and makes him the target of teasing from his classmates. Treatment goals may vary depending on the patient's age, patient socioeconomic status, and intraoral status at the time of treatment planning.2 There are various treatment modalities for the restoration of fractured teeth such as composite restoration, fixed denture, Fragment fracture reattachment (if available) followed by post and core supported restorations.2-4 Common restorative treatments such as laminate veneers or full coverage restorations may be considered after restorations of.