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Preservation of a split tooth: nonsurgical clinical management

A tooth is considered to be a split tooth if it contains a fracture line extending from the occlusal surface through both marginal ridges. Currently, the only treatment option for a split tooth is extraction. The present case report describes a novel therapeutic strategy for the preservation of a sp...

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Bibliographische Detailangaben
Hauptverfasser: Schürz, Alexander (VerfasserIn) , Gehrig, Holger (VerfasserIn) , Schüßler, Dorothée L. (VerfasserIn) , Mente, Johannes (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 4 May 2020
In: Journal of endodontics
Year: 2020, Jahrgang: 46, Heft: 7, Pages: 1002-1008
ISSN:1878-3554
DOI:10.1016/j.joen.2020.03.007
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.joen.2020.03.007
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0099239920301564
Volltext
Verfasserangaben:Alexander Schürz, Holger Gehrig, Dorothée L. Schuessler, and Johannes Mente

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520 |a A tooth is considered to be a split tooth if it contains a fracture line extending from the occlusal surface through both marginal ridges. Currently, the only treatment option for a split tooth is extraction. The present case report describes a novel therapeutic strategy for the preservation of a split tooth (first maxillary premolar) with a fracture in the mesiodistal direction. A systematic nonsurgical procedure involving visualization and slight widening of the fracture line is described. This procedure facilitates sealing of the fracture gap with a biocompatible calcium silicate cement (mineral trioxide aggregate) as well as internal composite resin stabilization and cuspal coverage restoration of the tooth. A 3-year follow-up showed a promising clinical and radiographic outcome. The concept presented here is an alternative treatment option for a split tooth, which allows preservation of the tooth rather than its extraction. 
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