Aesthetic restoration of fractured anterior teeth following an episode of dentoalveolar trauma: case report

Direct restoration with composite resin is a treatment option to restore aesthetics and function of anterior teeth with coronal fracture after an episode of dentoalveolar trauma. The present study aimed to present and discuss the direct restoration technique, with composite resin, in a pediatric dentistry patient with a crown fracture of the permanent upper central incisor due to dentoalveolar trauma. Female patient, 8 years old, was referred to the Dental Residency program in the area of ​​Dentistry at the State University of Londrina (UEL), for restorative treatment of tooth 11. On the intraoral physical examination, a coronal fracture involving enamel and dentin was diagnosed, without pulp involvement. Radiographically, no periapical involvement or root fracture was observed. After planning the case and obtaining the consent of the legal guardian, direct restoration was performed with composite resin using the free-hand technique. In a 1-year clinical follow-up, the aesthetic and functional results obtained were considered satisfactory by the patient, family members and professionals. Based on the case presented, it can be concluded that direct restoration with composite resin, using the freehand technique, is a viable alternative mainly due to its low cost and reduced clinical time. In addition, the success of the treatment depends on factors related to the properties of the materials, the patient's oral habits, and the professional's knowledge and clinical skills.