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Case Reports in Dentistry
Volume 2014, Article ID 472759, 7 pages
http://dx.doi.org/10.1155/2014/472759
Case Report

Multidisciplinary Approach for the Treatment of Horizontal Root-Fractured Maxillary Anterior Teeth

1Department of Endodontics, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey
2Department of Restorative Dentistry, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey

Received 29 August 2014; Revised 29 October 2014; Accepted 29 October 2014; Published 17 November 2014

Academic Editor: Jiiang H. Jeng

Copyright © 2014 Berkan Celikten et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dental trauma can lead to a wide range of injuries of which crown and root fractures are examples. Crown-root fractures often need complex treatment planning. This case report describes the use of MTA in the multidisciplinary management of a patient with a horizontally fractured central incisor and luxation in a different central incisor. A 42-year-old female patient presented within 1 h of receiving direct trauma to her maxillary area. Clinical examination revealed that the right and left maxillary central incisors presented mobility and sensitivity to percussion and palpation but no sensitivity to thermal stimulations. Occlusal displacement with extrusion in the left maxillary central incisor and luxation in the right maxillary central incisor was observed. Radiographic examination revealed horizontal root fracture at the apical third of the left maxillary central incisor. Root fracture in the right maxillary incisor was not observed. Endodontic and aesthetic restorative treatments were completed. MTA showed a good long-term outcome when used in root-fractured and luxated teeth. In addition, composite resin restoration provided satisfactory aesthetic results even after 15 months.