Abstract :This case report demonstrates the integrated orthodontic and adhesive approach to restoring a fractured maxillary central incisor. Orthodontic treatment positioned the tooth within the neutral zone, followed by fiber-reinforced composite layering. The combined disciplines ensured proper torque, inclination, and occlusal harmony, achieving functional and aesthetic success.
References
- Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O’Connell AC, Day PF, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dental Traumatology. 2020;36(4):314–330.
- Garcia FCP, Poubel DLN, Almeida JCF, Toledo IP, Poi WR, Guerra ENS, Rezende LVML. Tooth fragment reattachment techniques—A systematic review. Dental Traumatology. 2018;34(3):135–143.
- Gaião U, da Cunha LF, Kintopp CA, Garcia AV, Gonzaga CC, Moro A, Correr GM. Clinical Steps for Restoration of Fractured Anterior Teeth: Color Protocol with Non-VITA Scale. Case Reports in Dentistry. 2019;2019:3982082.
- Alfallaj H. Pre-prosthetic orthodontics. The Saudi Dental Journal. 2020;32(1):7–14.
- Kokich VG, Spear FM. Guidelines for managing the orthodontic-restorative patient. Seminars in Orthodontics. 1997;3(1):3–20.
- Proffit WR. Equilibrium theory revisited: factors influencing position of the teeth. The Angle Orthodontist. 1978;48(3):175–186.
- Beresin VE, Schiesser FJ. The neutral zone in complete dentures. The Journal of Prosthetic Dentistry. 1976;36(4):356–367.
- Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, Van Landuyt K, Lambrechts P, Vanherle G. Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges. Operative Dentistry. 2003;28(3):215–235.
- Dietschi D, Fahl N Jr. Shading concepts and layering techniques to master direct anterior composite restorations: an update. British Dental Journal. 2016;221(12):765–771.
- Magne P, So WS. Optical integration of incisoproximal restorations using the natural layering concept. Quintessence International. 2008;39(8):633–643.
- Khashayar G, Dozic A, Kleverlaan CJ, Feilzer AJ. The influence of varying layer thicknesses on the color predictability of two different composite layering concepts. Dental Materials. 2014;30(5):493–498.
- Ntovas P, Papazoglou E, Loukidis M, Dabarakis N, Rahiotis C. Digital selection of composite resin shade using cross polarized photography and a standardized white balance gray reference card. Clinical Case Reports. 2021;9(10):e04911.
- Hardan L, Bourgi R, Cuevas-Suárez CE, Lukomska-Szymanska M, Monjarás-Ávila AJ, Zarow M, Jakubowicz N, Jorquera G, Ashi T, Mancino D, et al. Novel Trends in Dental Color Match Using Different Shade Selection Methods: A Systematic Review and Meta-Analysis. Materials. 2022;15(2):468.
- Yilmaz B, Irmak Ö, Johnston WM, Küçükekenci AS. Effect of cross-polarization filters on the trueness of colors obtained with a single-lens reflex camera, macro lens, and a ring flash. Journal of Esthetic and Restorative Dentistry. 2023;35(6):878–885.
- Karbhari VM, Strassler H. Effect of fiber architecture on flexural characteristics and fracture of fiber-reinforced dental composites. Dental Materials. 2007;23(8):960–968.
- Alvarado-Orozco A, et al. Fracture resistance of teeth restored with polyethylene fibers reinforced composite restorations: a systematic review and meta-analysis of in vitro studies. Frontiers in Dental Medicine. 2026.
- Selvaraj H, Pradeep Kumar R, Natanasabapathy V. Fracture resistance of endodontically treated teeth restored with direct composite resin restorations using different reinforcement techniques: A systematic review and meta-analysis. Clinical Oral Investigations. 2023.
- Luthria A, Srirekha A, Hegde J, Karale R, Tyagi S, Bhaskaran S. The reinforcement effect of polyethylene fibre and composite impregnated glass fibre on fracture resistance of endodontically treated teeth: An in vitro study. Journal of Conservative Dentistry. 2012;15(4):372–376.
- Ramírez-Gómez JF, et al. Effect of polyethylene fiber orientation on fracture resistance of endodontically treated teeth restored with composite resin. Journal of Prosthetic Dentistry. 2024.
- Kois JC. Altering gingival levels: The restorative connection. Part I: Biologic variables. Journal of Esthetic and Restorative Dentistry. 1994;6(1):3–7.
- Chu SJ, Tan JH-P, Stappert CFJ, Tarnow DP. Gingival zenith positions and levels of the maxillary anterior dentition. Journal of Esthetic and Restorative Dentistry. 2009;21(2):113–120.
- Spear FM, Kokich VG. A multidisciplinary approach to esthetic dentistry. Dental Clinics of North America. 2007;51(2):487–505.
- Moon JE, Kim SH, Lee JB, Han JS, Yeo ISL, Ha SR. Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers: A case report. Restorative Dentistry & Endodontics. 2010;35(4):216–221.
- Magne P, Belser U. Bonded porcelain restorations in the anterior dentition: A biomimetic approach. Chicago: Quintessence Publishing; 2002.
- Dawson PE. Functional Occlusion: From TMJ to Smile Design. St. Louis: Mosby Elsevier; 2007.
Share on: