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Accident Fall are the Main Cause of Dental Trauma in India Essay

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In developing countries like India, accident falls are the main cause of dental trauma and anterior teeth are frequently affected10.The treatment options are decided by the position of the fracture line, length of the remaining root segment and the presence or absence of a coronal segment. The chances of healing with calcified tissue is poorest in cervical-third fractures.1,11 If the fracture line extends below the level of the alveolar bone crest and the apical root segment has sufficient length, the treatment alternatives are crown lengthening, orthodontic extrusion, reattachment, post crown and extraction.

Crown lengthening is performed if the fracture line is not more than 1–2 mm below the alveolar bone crest. This …show more content…

The bonding of the fractured tooth fragment provides a more resistant restoration to staining, abrasion than composite reconstruction, hence implicating positive psychological, emotional and social response from child as well as parents.

Composite resins are proved to have an irritating effect on periodontal tissues especially fibroblast17 , White Mineral Trioxide Aggregate was used in the present case to seal the fracture line enabling lesser possibility of leakage of dual cure composite across the fracture line. Even enzyme-linked immunosorbent assay (ELISA) has evidently demonstrated the stimulatory effect of Mineral Trioxide Aggregate on the production of bone morphogenetic protein (BMP-2) and TGF-1 by fibroblasts of human periodontium18 The present case report concluded that composite reinforced fiber post used with white Mineral Trioxide Aggregate for reattachment of mobile coronal segment was observed successful. The success of the treatment was again evaluated after one year which reveals the coronal portion in position with good esthetics. The radiological signs of periodontal health and

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