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Volume 103 Issue 5 SUMMARY This article presents an alternative treatment for the restoration of a maxillary central incisor following root fracture, which preserves the integrity of an existing complete maxillary rehabilitation. Instead of fabricating a fixed partial denture or a new implant-supported crown, the preexisting metal ceramic crown was reused following extraction of the fractured root and immediate implant placement. This approach permitted preservation of the patient’s esthetics, saved time, decreased costs, and minimized the psychological impact of anterior tooth loss.
REFERENCES 1. Ozcan M, Niedermeier W. Clinical study on the reasons for and location of failures of metal-ceramic restorations and survival of repairs. Int J Prosthodont 2002;15:299-302. 2. Cardoso AC, Spinelli Filho P. Clinical and laboratory techniques for repair of fractured porcelain in fixed prostheses: a case report. Quintessence Int 1994;25:835-8. 3. Bredfeldt G, Fattore L, Dixon RA, Granado J. Use of an implant in repair of a fixed partial denture. A clinical report. J Prosthet Dent 1991;65:3-6. 4. Galiatsatos AA. An indirect repair technique for fractured metal-ceramic restorations: a clinical report. J Prosthet Dent 2005;93:321-3. 5. Evans CD, Chen ST. Esthetic outcomes of immediate implants. Clin Oral Implants Res 2008;19:73-80. 6. Hess D, Buser D, Dietschi D, Grossen G, Schönenberger A, Belser UC. Esthetic single-tooth replacement with implants: a team approach. Quintessence Int 1998;29:77-86. 7. Swart LC, van Niekerk DJ. Simplifying the implant treatment for an unrestorable premolar with a one-piece implant: a clinical report. J Prosthet Dent 2008;100:81-5. 8. Morgano SM. Restoration of pulpless teeth: application of traditional principles in present and future contexts. J Prosthet Dent 1996;75:375-80.
9. Villa R, Rangert B. Immediate and early function of implants placed in extraction sockets of maxillary infected teeth: a pilot study. J Prosthet Dent 2007;97(6 Suppl):S96-S108. 10.Elian N, Tabourian G, Jalbout ZN, Classi A, Cho SC, Froum S, Tarnow DP. Accurate transfer of peri-implant soft tissue emergence profile from the provisional crown to the final prosthesis using an emergence profile cast. J Esthet Restor Dent 2007;19:306-14. 11.Magne P, Magne M, Belser U. The esthetic width in fixed prosthodontics. J Prosthodont 1999;8:106-18. Corresponding author: Dr Luís Leonildo Boff Rua Joe Collaço, n.53 Florianópolis, SC BRAZIL 88037-010 Fax: +55 48 32345047 E-mail:
[email protected] Acknowledgments The authors thank Dr Robert Simon (Clinical Instructor, Division of Restorative Sciences, School of Dentistry, University of Southern California) for his help in revising and editing the English draft. Copyright © 2010 by the Editorial Council for The Journal of Prosthetic Dentistry.
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