Provisional Restoration of Anterior Edentulous Space Using Extracted Primary Teeth Crowns in A Fixed Appliance After Dental Trauma: A Case Report

Premature loss of primary teeth could be treated with different options. In this case report, a 4-year-old girl was referred to our pediatric dentistry clinic for the treatment of dental trauma and pain. In clinical and radiographical evaluation, mobility in both primary maxillary central incisors, inflamed marginal gingival tissues, swelling of upper lip and a root fracture were detected. Both primary maxillary central incisors were extracted and anterior edentulous space was provisionally restored using extracted primary teeth crowns in a fixed appliance. Parents and patients’ satisfaction levels were evaluated before and after treatment. The fixed appliance was still healthy after a follow-up examination period of 12 months. Parents and patients’ satisfaction levels were approximately very satisfied. This case report presents an alternative treatment option - functional, esthetic and satisfactory for parents and patient- for the treatment of the premature loss of traumatized primary maxillary central incisors

Keywords:

Fixed appliance Primary teeth, Root fracture,

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1. Kretzschamar JL. The natural tooth pontic:a temporary solution for a difficult esthetic situation. J Am Dent Assoc 2001; 132: 1552-3.
2. Garcia-Godoy F, Pulver F. Treatment of trauma to the primary and young permanent dentitions. Pediatr Dent 2000; 44: 597–8.
3. Cunha RF, Pugliesi DM, Mello Vieira AE. Oral trauma in Brazilian patients aged 0–3 years. Dent Traumatol 2001; 17: 210–2.
4. Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. Scand J Dent Res 1970; 78: 329–42.
5. Slagsvold O, Bjercke B. Applicability of autotransplantation in cases of missing upper anterior teeth. Am J Orthod 1978; 74: 410–21.
6. Kristerson L, Lagerstrom L. Autotransplantation of teeth in cases with agenesis or traumatic loss of maxillary incisors. Eur J Orthod 1991; 13: 486– 92.
7. Thomas S, Turner SR, Sandy R. Autotransplantation of teeth: is there a role? Br J Orthod 1998; 25: 275–82.
8. Rao J, Fields HW, Chacon GE. Case report: autotransplantation for a missing permanent maxillary incisor. Pediatr Dent 2008; 30: 160–6.
9. Zachrisson BU. Improving orthodontic results in cases with maxillary incisors missing. Am J Orthod 1978;73:274–89.
10. Artun J, Zachrisson BU. New technique for semipermanent replacement of missing incisors. Am J Orthod 1984; 85: 367–75.
11. Stenvik A, Zachrisson BU. Orthodontic closure and transplantation in the treatment of missing anterior teeth. An overview. Endod Dent Traumatol 1993; 9: 45–52.
12. Ledermann PD, Hassell TM, Hefti AF. Osseointegrated dental implants as alternative therapy to bridge construction or orthodontics in young patients: seven years of clinical experience. Pediatr Dent 1993;15:327–33.
13. Kohavi D, Dikapua L, Rosenfeld P, Tarazi E. Dental implants following trauma in young adults. Refuat Hapeh Vehashinayim 2003; 20: 70–8.
14. Rossi E, Andreasen JO. Maxillary bone growth and implant positioning in a young patient: a case report. Int J Periodontics Restorative Dent 2003; 23: 113–9.
15. Schwartz-Arad D, Levin L. Post traumatic use of dental implants to rehabilitate anterior maxillary teeth. Dent Traumatol 2004; 20: 344–7.
16. Zachrisson BU, Toreskog S. Esthetic considerations in restoring the traumatized dentition: a biologic approach. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Munksgaard: Blackwell Inc, 2007: 798–813.
17. Aydin MY, Kargul B. Glass-fiber reinforced composite in management of avulsed central incisor: a case report. J Dent Child 2004; 71: 66– 8.
18. Ulusoy AT, Cehreli ZC. Provisional use of natural tooth crown following failure of replantation: a case report. Dent Traumatol 2006; 24: 96–9.
19. Akin H, Turgut M, Coskun ME. Restoration of an anterior edentulous space with a unique glass fiber-reinforced composite removable partial denture: a case report. J Esthet Restor Dent 2007; 19: 193–7.
20. Daly CG. Use of patient’s natural crown as the pontic in a composite resin-retained temporary bridge. Aust Dent J 1983; 28: 301–3.
21. Ashley M, Holden V. An immediate adhesive bridge using the natural tooth. Br Dent J 1998; 184: 18–20.
22. Safirstein JJ, Owens BM, Swords RL. The resin retained natural tooth pontic: a transitional esthetic solution. J Tenn Dent Assoc 2001; 8: 31– 3.
23. Tüzüner T, Kuşgöz A, Nur BG. Temporary management of permanent central incisors loss caused by trauma in primary dentition with natural crowns: a case report. Dent Traumatol 2009; 25: 522-6.
24. Bagis B, Satıroglu I, Korkmaz FM, Ates SM. Rehabilitation of an extracted anterior tooth space using fiber-reinforced composite and the natural tooth. Dent Traumatol 2010; 26(2): 191-4.
25. Kupietzky A, Waggoner WF. Parental satisfaction with bonded resin composite strip crowns for primary incisors. Pediatr Dent 2004; 26: 337–40.
26. Cvar JF, Ryge G. Reprint of criteria for the clinical evaluation of dental restorative materials. Clin Oral Invest 2005; 9: 215–32.