Treatment of Anterior Fractures With Fiber-Reinforced Composite Resins in Combinatıon With A Spilt Crown

Abstract

Objective: Treating crown fractures directly with composite resins is a common treatment in restorative dentistry. However, the increase in the size of the fracture requires restorations to be supported by the tooth root. In this direction, post systems made of different materials have been introduced, and fiber posts have been frequently used in restorative dentistry for years. Restorations should be completed quickly, practically, and with minimal removal of healthy tissue. Split crowns are a treatment method that has been used in pediatric dentistry for years and shortens the time spent at the patient's bedside. This case report aims to develop an alternative to traditional restorations by describing the use of fiber-reinforced direct composite restorations with split crowns, which can be an alternative to traditional post systems. Case Report: A 14-year-old female patient was admitted to Tokat Gaziosmanpaşa University, Faculty of Dentistry, Department of Restorative Dental Treatment with the complaint of fracture of the right and left upper central teeth due to dental trauma. The patient's anamnesis revealed that she had no systemic disease or allergic problem. The teeth with excessive crown destruction were restored with fiber-reinforced direct composite resins with the help of a split crown. Conclusion: Fiber-reinforced composite resins can be used as an alternative to fiber post systems. In addition, split crowns offer an effective solution for shortening the treatment time of extensive restorations.

Keywords

• split crown
• glass fiber
• direct composite restoration

Anterior kırıklarda fiber ağ destekli kompozit rezinlerin split kuronla kombine tedavisi

Abstract

Amaç: Restoratif diş hekimliğinde kuron kırıklarının direk kompozit rezinlerle tedavisi sıklıkla uygulanan bir tedavidir. Ancak kırığın boyutlarının artması restorasyonların diş kökünden destek alınarak yapılması gerektirmektedir. Bu doğrultuda farklı materyallerden üretilmiş post sistemleri tanıtılmıştır ve yıllardır fiber postlar restoratif diş hekimliğinde sıklıkla kullanılmaktadır. Restorasyonların hızlı pratik ve minimal sağlıklı doku uzaklaştırılarak tamamlanması gerekmektedir. Split kuronlar çocuk diş hekimliğinde yıllardır kullanılan ve hasta başında geçirilen süreyi oldukça kısaltan bir tedavi yöntemidir. Restorasyonlarına geleneksel post sistemlerine alternatif olabilecek fiber ağ destekli direk kompozit restorasyonların split kuronlarla birlikte kullanılması anlatılarak geleneksel restorasyonlara bir alternatif geliştirilmesi amaçlanmıştır. Olgu Sunumu: 14 yaşındaki kadın hasta, sağ ve sol üst santral dişlerinde travmaya bağlı kırık şikayetiyle Tokat Gaziosmanpaşa Üniversitesi Diş Hekimliği Fakültesi Restoratif Diş Tedavisi Anabilim Dalı'na başvurmuştur. Hastanın anamnezinde, sistemik hastalığı veya alerjik problemi bulunmadığı tespit edilmiştir. Aşırı kron harabiyeti bulunan dişler split kuron yardımıyla fiber ağ destekli direk kompozit rezinlerle restore edilmiştir. Sonuç: Fiber ağ ile güçlendirilmiş kompozit rezinler, fiber post sistemlerine alternatif olarak kullanılabilir. Ayrıca, split kuronlar, geniş restorasyonların tedavi süresinin kısaltılmasında etkili bir çözüm sunmaktadır.

Keywords

• split kuron
• cam fiber
• direk kompozit restorasyon

References

1. Referans 1. Feliciano KMPdC, Caldas Jr AdF. A systematic review of the diagnostic classifications of traumatic dental injuries. Dent Traumatol 2006;22(2):71-76.
2. Referans 2. Reis A, et al. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent 2004;29(2):226-233.
3. Referans 3. Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol 2002;18(3):103-115.
4. Referans 4. Asgary S, Fazlyab M. Management of complicated crown fracture with miniature pulpotomy: a case report. Iran Endod J 2014;9(3):233.
5. Referans 5. Bajaj P, et al. Multidisciplinary approach to the management of complicated crown-root fracture: a case report. Int J Oral Health Sci 2015;7(4):88.
6. Referans 6. Kocak S, et al. Intraradicular splinting with endodontic instrument of horizontal root fracture: case report. Dent Traumatol 2008;24(5):578-580.
7. Referans 7. Möllersten L, Lockowandt P, Lindén LA. A comparison of strengths of five core and post-and-core systems. Quintessence Int 2002;33(2).
8. Referans 8. Zorba YO, Özcan E. Reattachment of coronal fragment using fiber-reinforced post: a case report. Eur. J Dent 2007;1(3):174-178

9. Referans 9. Ritter AV. Sturdevant's art & science of operative dentistry—e-book. Elsevier Health Sciences, 2025.
10. Referans 10. Almushayti M, Arjumand B. Operators’ ease and satisfaction in restoring Class II cavities with sectional matrix versus circumferential matrix system at Qassim University Dental Clinics Cureus 2022;14(1).
11. Referans 11. Ok E, Erdek Y. Re-attachment of subgingivally oblique fractured central incisor using a fiber post. Eur J Dent 2008;2(2):138-141.
12. Referans 12. Ayna B, Hamamcı N, Çelenk S, İzol B. Travma sonucu oluşan kron kırıklarının multidisipliner yaklaşımla tedavisi. Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesi Dergisi 2009; 1:49-53.
13. Referans 13. Barnett F. The role of endodontics in the treatment of luxated permanent teeth. Dent Traumatol 2002;18(2):47-56.
14. Referans 14. Kaya S, Ayaz SG. Ekstrusiv lüksasyon ve komplike olmayan kron fraktürü: İki olgu sunumu. Gazi Diş Hek Fak Derg 2011;28(2):109-114.
15. Referans 15. Baratieri LN. Esthetics: Direct adhesive restorations on fractured anterior teeth. Quintessence Int (IL), 1998.
16. Referans 16. Cheung W. A review of the management of endodontically treated teeth: post, core and the final restoration. J Am Dent Assoc 2005;136(5):611-619.
17. Referans 17. Peroz I, Blankenstein F, Lange KP, Naumann M. Restoring endodontically treated teeth with posts and cores—a review. Quintessence Int 2005;36(9).
18. Referans 18. Zhang Y, Yu W, Jiang X, QİU J, Sun S, Zhang F. The microtensile bond strengths of four resin core materials and fiber posts and their micromorphologic characteristics. Quintessence Int 2012;43(4).
19. Referans 19. Freedman GA. Esthetic post-and-core treatment. Dent Clin North Am 2001;45(1):103-116.
20. Referans 20. Başaran EG, Ayna E, Vallittu PK, Lassila LV. Load bearing capacity of fiber-reinforced and unreinforced composite resin CAD/CAM-fabricated fixed dental prostheses. J. Prosthet. Dent 2013;109(2):88-94.
21. Referans 21. Keulemans F, Lassila LV, Garoushi S, Vallittu PK, Kleverlaan CJ, Feilzer AJ. The influence of framework design on the load-bearing capacity of laboratory-made inlay-retained fibre-reinforced composite fixed dental prostheses. J Biomech 2009;42(7):844-849.
22. Referans 22. Ülker HE, Çoban E. Anterior estetik problemin direkt kompozit restorasyon ile tedavisi. Selçuk Dental Journal 2022;9(4):113-117.
23. Referans 23. Ahısha CD, Üçtaşlı MB. Kompozit rezin restoratif materyal ile diastema tedavisi: olgu sunumu. Selçuk Dental Journal 2022;9(4):1-5.
24. Referans 24. Baroudi K, Rodrigues JC. Flowable resin composites: a systematic review and clinical considerations. J Clin Diagn Res 2015;9(6)
25. Referans 25. Geštakovski D. The injectable composite resin technique: biocopy of a natural tooth—advantages of digital planning. Int J Esthet Dent 2021;16(3):280-299.
26. Referans 26. Rathod P, Patel A, Mankar N, Chandak m, İkhar A. Enhancing aesthetics and functionality of the teeth using injectable composite resin technique. Cureus 2024;16(5).
27. Referans 27. Geštakovski D. The injectable composite resin technique: minimally invasive reconstruction of esthetics and function. Quintessence Int 2019;50(9):712-720.