Direct pulp capping with an adhesive system in management of a complicated incisor fracture: A three-year follow-up case report

Abstract

Objectives: This article describes a direct pulp capping with an adhesive system and an immediate reattachment of the intact fractured tooth fragment after an impact trauma to the maxillary lateral incisor that caused a complicated crown fracture and pulpal exposure. Materials and methods: In this case, a simple reattachment technique was performed without additional preparation. A hybridization of the exposed dentin with an adhesive system was chosen to protect the pulp-dentin interface and bonding the tooth fragment as precisely as possible. A resin composite was used to fill the discontinuity between the fragment and the tooth. The clinical procedure can be considered safe and simple. Results and conclusions: After three years, the tooth had satisfying esthetics and excellent function and pulp was still vital with no signs or symptoms of inflammation. Clinician should be updated with the current methods and techniques for the management of complicated tooth fracture. © 2011 Societ Italiana di Endodonzia. Published by Elsevier Srl. All rights reserved.