Sai Kalyan Surapaneni1, Rita Chandki2
1Department of Conservative Dentistry and Endodontics, Rural Dental College, PIMS, Loni, Maharashtra, India.
2Index Institute of Dental Sciences, Indore, Madhya Pradesh, India.
The myriads of technological advancements in dentistry in last two decades have led to a dramatic shift from conventional invasive procedures to more conservative biomimetic therapies. In this series, management of traumatic dental injuries has taken a big leap in that now it is possible to conserve many of these teeth which were otherwise doomed to extraction. Depending on the extent of injury, esthetic and functional requirements, traumatic dental injuries can be managed by a variety of clinical procedures including composite resin restorations, reattachment of fractured fragment, endodontic therapy with or without post and core or lastly extraction. Reattaching natural tooth structure offers an advantage over the others in that it is instant, provides superior esthetics, preserves the natural tooth structure and is best accepted by the patient. This paper describes the comprehensive management of traumatized maxillary central incisor involving pulp exposure while maintaining pulp vitality and natural appearance of a tooth.
Keywords: Fractured tooth, mineral trioxide aggregate plus, reattachment, Ribbond, traumatic dental injury.