Dental fracture with invasion of biological space: Multidisciplinary treatment
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
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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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 |
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1797052676269146112 |