PMC4367037_01
Preoperative frontal view
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F1
Clinical and radiographic examination revealed horizontal fractures (Ellis class III) in the gingival third regions of the crowns of maxillary left lateral incisor [Figures 1 and 2].
Preoperative radiograph
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F2
Clinical and radiographic examination revealed horizontal fractures (Ellis class III) in the gingival third regions of the crowns of maxillary left lateral incisor [Figures 1 and 2].
Tooth fragment kept in normal saline
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F3
The fractured fragment was removed and washed thoroughly under running water and stored in sterile normal saline to prevent dehydration and discoloration [Figure 3].
Root canal treatment with sectional method of obturation
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F4
Root canal treatment was carried out immediately and obturation was done by sectional method maintaining 5 mm apical seal [Figure 4].
Prefabricated post inserted into canal
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F5
After preparing the post space with pesso reamer, prefabricated metal post was luted in the canal with glass ionomer cement [Figure 5].
Photograph after reattachment of tooth fragment
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F6
Subsequently, flowable composite (Grandio Flow, Voco) was used to fill the access cavity and hole in the tooth and the prepared grooves into the coronal fragment [Figure 6].
Postoperative frontal view after finishing and polishing
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F7
Afterwards, final polishing was done with Enhance (Dentsply) [Figure 7].