Conservative biological restoration associated with vital pulp therapy in complicated dentoalveolar trauma, 6 month control.

Abstract

Introduction: Dentoalveolar trauma, in maxillary incisors, is common and can result in complicated fractures with pulp exposure. Adhesive reinsertion of the coronal fragment and vital pulp therapy (VPT) can be effective conservative strategies to maintain the vitality and integrity of the tooth. Materials and Methods: 13-year-old adolescent with a complicated coronal fracture. After clinical and radiographic examination, using pulp sensitivity tests, confirming the possibility of conservative treatment. A partial pulpotomy was performed applying Biodentin for pulp protection and repair. Tooth preparation included the use of adhesive systems and composite resin. The adhesive connection of the fragment was performed with thermomodified resin, followed by layering to complete the dental anatomy, following polymerization, finishing and polishing protocols. Results: With the protocol carried out, an esthetically satisfactory and functional restoration was obtained without postoperative complications. The conservative technique allowed protection of the remaining tooth structure and restoration of the optical properties, proving to be effective in coronal fractures.Conclusions: The combination of VPT and adhesive reinsertion of the tooth fragment is a viable strategy for treating complicated coronal fractures with pulp exposure. This conservative approach offers stable and durable clinical results, highlighting the importance of selecting appropriate materials and following strict protocols for successful treatment. The aim of the present study is to report the clinical case of a complicated coronal fracture with pulp exposure, approached in a minimally invasive approach and using conservative protocols.