PMC3335583_01
Vertical coronal fracture in mandibular molar, pre-operative radiograph.
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fig1
Examination revealed a vertical fracture in crown of right mandibular first molar with pulpal exposure (Figure 1). Fractured fragments were seen to be separated by a narrow radiolucent line extending to the CEJ (Figure 1).
Splinting with orthodontic band.
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fig2
A preformed orthodontic stainless steel molar band (Ortho organizers, CA, USA) was cemented around the tooth to hold the fragments in position (Figure 2).
Postobturation radiograph.
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fig3
The patient was recalled after a week, and root canal therapy was completed (Figure 3).
Wire reinforcement (buccal view), wire reinforcement (occlusal view).
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fig4
An orthodontic stainless steel wire 26 gauge 0.012'' (KC Smith) was passed through the holes in the crown buccolingually making a loop, and free ends of wire, were tied buccally in the prepared slot (Figure 4).
Intracoronal splinting with FRC.
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fig5
A piece of leno weave ribbon formed of ultra-high -molecular-weight polyethylene fiber (UHMWPE) (Ribbond, Seattle, WA, USA) was cut and impregnated with adhesive resin (Figure 5).
After light cure composite restoration.
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fig6
After curing for 20 s, the cavities were restored incrementally with composite and cured using a combination of pulse and progressive curing technique (Figure 6).