| Dental
fractures of the anterior teeth are relatively frequent injuries in childhood.
It is beneficial to quickly restore the function and the aesthetics of the
traumatized tooth. However until maxillary maturation is completed, the
employment of crowns or insertion of implants is not recommended, the treatment
of choice, instead, would be the reattachment of the fragments or direct
composite restorations. Tooth fracture below the gingival attachment or
alveolar bone crest presents restorative difficulties. A relatively simple and
fast technique to restore the subgingival fractures is the reattachment of the
fragments or the composite build-ups using flap surgery. Furthermore
orthodontic or surgical extrusions of such teeth allow elevating the fracture
line above the epithelial attachment. The reattachment of the fragments, the
direct adhesive restorations using flap surgery or orthodontic or surgical
eruption may present a more conservative treatment choice in young patients
compared with the prosthetic restorations after extraction. |
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