Abstract
The decision to save or extract a natural tooth which has been compromised is one of the dilemmas of dental practitioners, as well as the patients. Although there was a considerable effort to save the natural teeth in the past, with the introduction of osseointegrated implants, there is a tendency to extract the compromised teeth and replace them with implant-supported prosthesis. In this article, this important clinical decision is investigated, and a successful restoration of a traumatized anterior tooth is presented.
Highlights
Trauma to the dental pulp and periodontal tissues is different from other etiologic factors which cause their pathologic changes
Traumatic dental injuries and their consequences may exceed the burden of caries and periodontal disease in the young population [3, 4]
Patient was a 50-year-old female with no contributory medical history and no known allergies. She presented with an acute periapical abscess and a mobile right maxillary central incisor, which started after a ‘slip and fall’ accident two days prior to her emergency visit to the dental office
Summary
Trauma to the dental pulp and periodontal tissues is different from other etiologic factors which cause their pathologic changes. The injury can occur directly to the pulp, root apex, cementum, periodontal ligament or surrounding bone individually or in combination. This renders the pulp and periodontal tissues less resistant to bacterial invasion that accompanies the trauma [1]. Traumatic dental injuries and their consequences may exceed the burden of caries and periodontal disease in the young population [3, 4]. The purpose of this case report is to exemplify a minimally invasive approach in management of traumatic lesion of an anterior tooth, which would have been deemed hopeless otherwise
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