Dental fracture with invasion of biological space: Multidisciplinary treatment

Detalhes bibliográficos
Autor(a) principal: Nascimento, Bianca Joaquim do
Data de Publicação: 2021
Outros Autores: Silva , Ana Julia Furlan da, Prescinotti, Roberto, Pedriali , Maria Beatriz Bergonse Pereira, Kasuya, Amanda Vessoni Barbosa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/15003
Resumo: Periodontal health and restorative procedures are closely related and need to be in harmony.  The treatment only presents a good prognosis when mechanical, biological and esthetic aspects are respected. The biological space has the function of protecting the dental element support tissues against bacterial aggression and its toxins, and its preservation is essential for proper rehabilitation.  Periodontal surgery involving detachment of a full flap, osteotomy and osteoplastic are contraindicated in some cases due to compromised esthetics. Thus, orthodontic extrusion combined with fibrotomy is a treatment possibility, especially when it involves the anterior region of the maxilla.  The purpose of this article is to report and discuss a clinical case of an upper incisors coronoradicular fracture with invasion of the biological space. The case had a multidisciplinary approach and planning according to the patient's socioeconomic status, with a view to subsequent prosthetic rehabilitation. First, endodontic treatment was performed, intraradicular retention with fiberglass pins and temporary crowns. Subsequently, orthodontic root extrusion was performed using acetate plates and orthodontic elastics to re-establish the biological space. With adequate planning and performance of the correct technique it was possible to provide a subsequent favorable prosthetic rehabilitation with good prognosis.
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spelling Dental fracture with invasion of biological space: Multidisciplinary treatmentFractura dental con invasión del espacio biológico: Tratamiento multidisciplinarFratura dental com invasão de espaço biológico: Tratamento multidisciplinarExtrusão ortodônticaEspaço biológicoReabilitação.Extrusión ortodonciaEspacio biológicoRehabilitación.Orthodontic extrusionBiological spaceRehabilitation.Periodontal health and restorative procedures are closely related and need to be in harmony.  The treatment only presents a good prognosis when mechanical, biological and esthetic aspects are respected. The biological space has the function of protecting the dental element support tissues against bacterial aggression and its toxins, and its preservation is essential for proper rehabilitation.  Periodontal surgery involving detachment of a full flap, osteotomy and osteoplastic are contraindicated in some cases due to compromised esthetics. Thus, orthodontic extrusion combined with fibrotomy is a treatment possibility, especially when it involves the anterior region of the maxilla.  The purpose of this article is to report and discuss a clinical case of an upper incisors coronoradicular fracture with invasion of the biological space. The case had a multidisciplinary approach and planning according to the patient's socioeconomic status, with a view to subsequent prosthetic rehabilitation. First, endodontic treatment was performed, intraradicular retention with fiberglass pins and temporary crowns. Subsequently, orthodontic root extrusion was performed using acetate plates and orthodontic elastics to re-establish the biological space. With adequate planning and performance of the correct technique it was possible to provide a subsequent favorable prosthetic rehabilitation with good prognosis.La salud periodontal y los procedimientos de restauración están estrechamente relacionados y deben estar en armonía.  El tratamiento sólo presenta un buen pronóstico cuando se respetan los aspectos mecánicos, biológicos y estéticos. El espacio biológico tiene la función de proteger los tejidos de soporte del elemento dental contra la agresión bacteriana y sus toxinas, su preservación es esencial para una correcta rehabilitación.  La cirugía periodontal que implica el desprendimiento de un colgajo completo, la osteotomía y la osteoplastia están contraindicadas en algunos casos debido al compromiso de la estética. Por lo tanto, la extrusión ortodoncia combinada con la fibrotomía es una posibilidad de tratamiento, especialmente cuando afectan a la región anterior del maxilar.  El propósito de este estudio es informar y discutir un caso clínico con fractura coronorradicular de los incisivos superiores con invasión del espacio biológico. El caso contó con un enfoque multidisciplinar y una planificación acorde con la situación socioeconómica del paciente, con vistas a la posterior rehabilitación protésica. En un primer momento se realizó un tratamiento endodoncia, retención intrarradicular con pernos de fibra de vidrio y coronas provisionales. Posteriormente, se realizó una extrusión radicular ortodoncia utilizando placas de acetato y elásticos ortodoncias para restaurar el espacio biológico. Con una adecuada planificación y la realización de la técnica correcta fue posible proporcionar una rehabilitación protésica posterior favorable y con buen pronóstico.Saúde periodontal e procedimentos restauradores estão intimamente relacionados e precisam estar em harmonia. O tratamento só apresenta bom prognóstico quando aspectos mecânicos, biológicos e estéticos são respeitados. O espaço biológico tem a função de proteger os tecidos de sustentação do elemento dental contra a agressão bacteriana e suas toxinas, sua preservação é fundamental para uma reabilitação adequada. Cirurgia periodontal envolvendo descolamento de um retalho total, osteotomia e osteoplastia são contraindicadas em alguns casos devido ao comprometimento da estética. Com isso, a extrusão ortodôntica combinada com fibrotomia é uma possibilidade de tratamento, principalmente quando envolvem a região anterior da maxila. O propósito desse trabalho é relatar e discutir um caso clínico com fratura coronorradicular dos incisivos superiores com invasão do espaço biológico. O caso teve uma atuação multidisciplinar e um planejamento de acordo com a condição socioeconômica do paciente, tendo em vista uma posterior reabilitação protética. Em um primeiro momento, realizou-se tratamento endodôntico, retenção intrarradicular com pinos de fibra de vidro e coroas provisórias. Posteriormente, a extrusão ortodôntica das raízes foi executada, com placa de acetato e elásticos ortodônticos, para restabelecimento do espaço biológico. Com planejamento adequado e realização da técnica correta foi possível proporcionar uma posterior reabilitação protética favorável e com bom prognóstico.Research, Society and Development2021-05-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1500310.33448/rsd-v10i5.15003Research, Society and Development; Vol. 10 No. 5; e42010515003Research, Society and Development; Vol. 10 Núm. 5; e42010515003Research, Society and Development; v. 10 n. 5; e420105150032525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/15003/13551Copyright (c) 2021 Bianca Joaquim do Nascimento; Ana Julia Furlan da Silva ; Roberto Prescinotti; Maria Beatriz Bergonse Pereira Pedriali ; Amanda Vessoni Barbosa Kasuyahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Nascimento, Bianca Joaquim do Silva , Ana Julia Furlan da Prescinotti, Roberto Pedriali , Maria Beatriz Bergonse PereiraKasuya, Amanda Vessoni Barbosa2021-05-17T18:20:49Zoai:ojs.pkp.sfu.ca:article/15003Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:35:56.340971Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Dental fracture with invasion of biological space: Multidisciplinary treatment
Fractura dental con invasión del espacio biológico: Tratamiento multidisciplinar
Fratura dental com invasão de espaço biológico: Tratamento multidisciplinar
title Dental fracture with invasion of biological space: Multidisciplinary treatment
spellingShingle Dental fracture with invasion of biological space: Multidisciplinary treatment
Nascimento, Bianca Joaquim do
Extrusão ortodôntica
Espaço biológico
Reabilitação.
Extrusión ortodoncia
Espacio biológico
Rehabilitación.
Orthodontic extrusion
Biological space
Rehabilitation.
title_short Dental fracture with invasion of biological space: Multidisciplinary treatment
title_full Dental fracture with invasion of biological space: Multidisciplinary treatment
title_fullStr Dental fracture with invasion of biological space: Multidisciplinary treatment
title_full_unstemmed Dental fracture with invasion of biological space: Multidisciplinary treatment
title_sort Dental fracture with invasion of biological space: Multidisciplinary treatment
author Nascimento, Bianca Joaquim do
author_facet Nascimento, Bianca Joaquim do
Silva , Ana Julia Furlan da
Prescinotti, Roberto
Pedriali , Maria Beatriz Bergonse Pereira
Kasuya, Amanda Vessoni Barbosa
author_role author
author2 Silva , Ana Julia Furlan da
Prescinotti, Roberto
Pedriali , Maria Beatriz Bergonse Pereira
Kasuya, Amanda Vessoni Barbosa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Nascimento, Bianca Joaquim do
Silva , Ana Julia Furlan da
Prescinotti, Roberto
Pedriali , Maria Beatriz Bergonse Pereira
Kasuya, Amanda Vessoni Barbosa
dc.subject.por.fl_str_mv Extrusão ortodôntica
Espaço biológico
Reabilitação.
Extrusión ortodoncia
Espacio biológico
Rehabilitación.
Orthodontic extrusion
Biological space
Rehabilitation.
topic Extrusão ortodôntica
Espaço biológico
Reabilitação.
Extrusión ortodoncia
Espacio biológico
Rehabilitación.
Orthodontic extrusion
Biological space
Rehabilitation.
description Periodontal health and restorative procedures are closely related and need to be in harmony.  The treatment only presents a good prognosis when mechanical, biological and esthetic aspects are respected. The biological space has the function of protecting the dental element support tissues against bacterial aggression and its toxins, and its preservation is essential for proper rehabilitation.  Periodontal surgery involving detachment of a full flap, osteotomy and osteoplastic are contraindicated in some cases due to compromised esthetics. Thus, orthodontic extrusion combined with fibrotomy is a treatment possibility, especially when it involves the anterior region of the maxilla.  The purpose of this article is to report and discuss a clinical case of an upper incisors coronoradicular fracture with invasion of the biological space. The case had a multidisciplinary approach and planning according to the patient's socioeconomic status, with a view to subsequent prosthetic rehabilitation. First, endodontic treatment was performed, intraradicular retention with fiberglass pins and temporary crowns. Subsequently, orthodontic root extrusion was performed using acetate plates and orthodontic elastics to re-establish the biological space. With adequate planning and performance of the correct technique it was possible to provide a subsequent favorable prosthetic rehabilitation with good prognosis.
publishDate 2021
dc.date.none.fl_str_mv 2021-05-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/15003
10.33448/rsd-v10i5.15003
url https://rsdjournal.org/index.php/rsd/article/view/15003
identifier_str_mv 10.33448/rsd-v10i5.15003
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/15003/13551
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 5; e42010515003
Research, Society and Development; Vol. 10 Núm. 5; e42010515003
Research, Society and Development; v. 10 n. 5; e42010515003
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052676269146112

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