RESUMO
Anterior dental fractures often require a multidisciplinary approach. This article presents a case in which an extensive fracture with palatal biological width invasion was treated successfully through clinical crown lengthening with odontoplasty. This procedure was a simple direct technique that restored the tooth without damaging the dental esthetics, the gingival contour, or the papillae.
Assuntos
Aumento da Coroa Clínica/métodos , Estética Dentária , Incisivo/lesões , Fraturas dos Dentes/cirurgia , Adulto , Alveoloplastia , Resinas Compostas/química , Esmalte Dentário/lesões , Esmalte Dentário/cirurgia , Materiais Dentários/química , Restauração Dentária Permanente/métodos , Dentina/lesões , Dentina/cirurgia , Feminino , Seguimentos , Gengiva/patologia , Humanos , Incisivo/cirurgia , Tratamento do Canal Radicular , Clareamento Dental/métodos , Coroa do Dente/lesões , Coroa do Dente/cirurgia , Fraturas dos Dentes/terapiaRESUMO
AIM: The aim of this study was to evaluate the clinical outcome of teeth submitted to odontoplasty during clinical crown lengthening surgery (CCLS), when compared to their contralateral non-operated teeth. MATERIALS AND METHODS: Fourteen patients submitted to odontoplasty during CCLS were evaluated according to plaque index, bleeding on probing, probing depth and final restoration outcome (total success, relative success and failure). RESULTS: The mean follow-up period was 13.57 (± 8.00) months, and ranged from 6 to 24 months. Twelve cases presented total success of the final rehabilitation and 2 cases presented relative success. The cases of relative success were due to the necessity for a new periodontal intervention (scalling). No differences were observed with respect to periodontal parameters (P>0.05) and the patients that showed relative success presented generalized poor oral hygiene. CONCLUSIONS: The odontoplasty during clinical crown lengthening surgery is a feasible procedure in the management of extensive crown destruction.