Combined Endo-restorative Treatment of a Traumatized Central Incisor: A Five-year Follow-up

PURPOSE: The management of complicated crown-root fractures is challenging for endodontic restoration. The present case describes a patient who sustained trauma to the maxillary right central incisor. MATERIALS AND METHODS: Clinical and radiographic examination showed a complicated crown-root fracture and incomplete root development with periapical radiolucency and inadequate endodontic treatment with overfilling. Orthograde retreatment with MTA apical closure combined with a microsurgical approach to remove of extruded material was performed. Coronal sealing was accomplished with a direct adhesive restoration and marginal relocation. RESULTS: A 5-year follow-up showed complete healing of the periapical lesion and correct preservation of function and esthetic parameters. CONCLUSION: A modern minimally invasive treatment protocol allows the maximum conservation of residual dental tissues.