PMC3825216_01
Diagnostic photo.
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fig1
Intraoral examination revealed grade II mobility i.r.t 11 and complicated crown fracture i.r.t 12 (Figure 1).
Diagnostic radiograph.
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fig2
On investigating the intraoral periapical radiograph (Figure 2), a horizontal fracture line was seen i.r.t 11 at the junction of coronal and middle third with minimal displacement of fracture fragments.
Splinting.
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Working length 12.
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Later post space preparation was done to receive fibre-post (Quartzix Added Posts; number 2, Landy, Swiss Dental Products Of Distinction) (Figures 4, 5, 6, and 7).
Master cone 12.
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fig5
Later post space preparation was done to receive fibre-post (Quartzix Added Posts; number 2, Landy, Swiss Dental Products Of Distinction) (Figures 4, 5, 6, and 7).
Obturation 12.
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fig6
Later post space preparation was done to receive fibre-post (Quartzix Added Posts; number 2, Landy, Swiss Dental Products Of Distinction) (Figures 4, 5, 6, and 7).
Post and core 12.
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fig7
Later post space preparation was done to receive fibre-post (Quartzix Added Posts; number 2, Landy, Swiss Dental Products Of Distinction) (Figures 4, 5, 6, and 7).
Working length 11.
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After access preparation, number 15 K File was used to negotiate through the fracture fragment (Figure 8).
Obturation 11.
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fig9
Following this, gutta-percha is carefully removed just below the fracture extension (Figure 9).
MTA placement.
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fig10
Later, MTA (Proroot, Dentsply, Germany) is densely packed with hand pluggers (Figure 10) through the fracture fragment and access cavity sealed with flowable composite.
Direct and indirect composite restorations.
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fig11
The final coronal restoration was planned as indirect composite crown (Adoro Indirect Composite, Ivoclar Vivadent) (Figure 11). Esthetic management for this tooth consisted of a conservative approach of giving indirect composite veneer (Adoro Indirect Composite, Ivoclar Vivadent) (Figure 11).
Six-month recall.
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fig12
Immediate postop evaluation revealed reduction in tooth mobility i.r.t 11 and followup of 6 months did not reveal any periapical changes with the patient remaining asymptomatic (Figure 12).
PMC3825216_02
Diagnostic picture.
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fig13
On clinical and radiographic examination a diagnosis of Ellis Class VI fracture was established i.r.t 12 (Figures 13 and 14).
Diagnostic radiograph.
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fig14
On clinical and radiographic examination a diagnosis of Ellis Class VI fracture was established i.r.t 12 (Figures 13 and 14).
Splinting of teeth.
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fig15