case_images: PMC5504940_01
case_images: Clinical aspects of the crown fracture of the maxillary right central incisor.
case_images: CRID2017-2106245.001.jpg
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case_images: fig1
case_images: A 9-year-old female patient presented at the postgraduate clinic of dentistry at the State University of Rio de Janeiro, Rio de Janeiro, Brazil, with a coronal fracture and pulp exposure of the right maxillary central incisor (Figures 1 and 2) that had occurred immediately after an accident.
case_images: Clinical aspects of the pulp exposure (a). Original tooth fragment recovered at the accident site and stored in milk (b).
case_images: CRID2017-2106245.002.jpg
case_images: PMC5504940_01_CRID2017-2106245.002.jpg
case_images: fig2
case_images: A 9-year-old female patient presented at the postgraduate clinic of dentistry at the State University of Rio de Janeiro, Rio de Janeiro, Brazil, with a coronal fracture and pulp exposure of the right maxillary central incisor (Figures 1 and 2) that had occurred immediately after an accident. The tooth fragment presented good positional stability (Figure 2).
case_images: Clinical aspect of the original reattached tooth fragment.
case_images: CRID2017-2106245.003.jpg
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case_images: fig3
case_images: A good esthetic result was obtained, and beveling the adhesive interfaces was not necessary (Figure 3).
case_images: PMC5504940_02
case_images: Tooth fragment detached after 5 years and development of the dentin barrier.
case_images: CRID2017-2106245.004.jpg
case_images: PMC5504940_02_CRID2017-2106245.004.jpg
case_images: fig4
case_images: The hard tissue barrier was complete and had remained intact after 5 years of protection (Figure 4).
case_images: Discoloration of the fractured tooth crown after 10 years.
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case_images: PMC5504940_02_CRID2017-2106245.005.jpg
case_images: fig5
case_images: During a follow-up 5 years later, the same right maxillary central incisor presented clinical discoloration (Figure 5) and absence of sensitivity during pulp vitality tests.
case_images: Radiograph showing periapical radiolucency.
case_images: CRID2017-2106245.006.jpg
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case_images: fig6
case_images: A radiographic image revealed periapical radiolucency (Figure 6).
case_images: Radiograph after endodontic treatment.
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case_images: fig7
case_images: The new treatment plan included endodontic treatment (Figure 7), followed by nonvital tooth bleaching and light-cured composite resin restoration.
case_images: Clinical aspects after internal nonvital bleaching.
case_images: CRID2017-2106245.008.jpg
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case_images: fig8
case_images: The final tooth color after bleaching is shown in Figure 8.
case_images: Clinical aspects after composite resin restoration.
case_images: CRID2017-2106245.009.jpg
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case_images: fig9
case_images: The same restorative materials that were applied to restore palatal access were used (Figure 9).
case_images: Final clinical appearance.
case_images: CRID2017-2106245.010.jpg
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case_images: fig10
case_images: An esthetic and natural-looking restoration was achieved (Figure 10).