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Minimally Invasive Management of Traumatized Maxillary Incisors
* 1 , 2 , 3 , 4 , 5, 6 , 1, 7
1  Division of Operative Dentistry, Department of General Dentistry, College of Dentistry, The University of Tennessee Health Science Center, Memphis, TN 38103, USA
2  Division of Dental Biomaterials, Department of Clinical and Community Sciences, The University of Alabama at Birmingham School of Dentistry, Birmingham, AL, USA
3  Department of Periodontology, Centro Educativo Multidisciplinario en Rehabilitacion Oral (CEMRO), Morelia, Mexico
4  Department of Prosthodontics, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA, USA
5  Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern 3010, Switzerland
6  Private Practice, Dubai, United Arab Emirates
7  School of Dental Medicine, Ponce Health Sciences University, Ponce, PR 00732, USA
Academic Editor: Marco Cicciù

Abstract:

Minimally invasive management of traumatized maxillary central incisors is crucial for preserving tooth structure, function, and esthetics. This approach is supported by current evidence on traumatic dental injuries (TDIs). A recent literature review, which spanned from 2010 to 2025 and utilized databases like Google Scholar and PubMed, focused on identifying and analyzing conservative techniques for maxillary incisor fractures. This comprehensive search also included a manual review of references from selected articles to ensure no relevant information was missed. To illustrate this conservative philosophy, a compelling case report is presented. The patient, who suffered a traumatic injury to a maxillary central incisor, was successfully treated using a multi-step, minimally invasive protocol. The treatment began with the strategic placement of a fiber-reinforced composite post and core, which provided foundational support without the need for excessive tooth removal. This was followed by a carefully planned preparation for a lithium disilicate layered zirconia crown. This choice of material and technique ensured the preservation of the patient's remaining sound tooth structure, a key principle of the treatment. The outcome of this approach was the successful restoration of both function and esthetics. By prioritizing a conservative strategy, the treatment not only achieved structural integrity and esthetic harmony but also secured a favorable long-term prognosis for the tooth. This case serves as a powerful example that traumatic injuries to maxillary central incisors can be managed effectively with minimally invasive strategies, ensuring excellent long-term functional and esthetic outcomes while prioritizing the preservation of the natural tooth.

Keywords: Tooth Fractures; Crowns; Post and Core Technique; Conservative Dentistry
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