A conservative approach for a tooth fractured at the cusp: A long-term clinical report
Edition: 60 | Number: 4 | Year: 2019

A conservative approach for a tooth fractured at the cusp: A long-term clinical report


Summary

This case report presents a conservative treatment of a molar tooth fractured, involving the cusp and the cervical portion of the root. The proposed planning in this case, was the endodontic retreatment of the fractured tooth, which presented periapical lesion and uncertain prognosis. Endodontic retreatment was performed as planned and the rehabilitation with an endocrown restoration was accomplished. A 1-year follow-up revealed the regression of the periapical lesion and maintenance of adequate restoration characteristics. The philosophy of a minimally invasive treatment, with priority of the conservative method allows for the reestablishment of function and aesthetics with clinical success.


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Figura 1a: Aspecto clínico inicial mostrando a fratura do segundo molar direito.
Figura 1b: Visão aproximada da fratura coronorradicular envolvendo as cúspides linguais do elemento 47.
Figura 2: Aspecto radiográfico inicial do elemento 47 apresentando lesão periapical e obturação deficiente dos canais radiculares.