Clinical management of a complicated crown-root fracture: a case report

Abstract

This report describes the clinical procedures involved in the treatment of a complicated crown-root fracture in the maxillary left central incisor with a wide open apex of a 10-year-old male patient, due to fall from his own height. Post-trauma treatment comprised cervical pulpotomy and adhesive tooth fragment reattachment. After 1 year, clinical and radiograph examinations showed pulp necrosis and an associated periapical lesion. Endodontic therapy with calcium hydroxide-base intracanal dressing, root canal filling and orthodontic extrusion were performed. Extrusion was completed within approximately 16 weeks and the tooth was restored with a post-core system and a prosthetic crown. After a 3 years of follow-up, there was no evidence of apical periodontitis and the tooth was satisfactory both esthetically and functionally.

A Novel Technique in Restoring Fractured Anterior Teeth

“…There are various treatment modalities for restoration of fractured teeth like composite restoration, fixed prosthesis, reattachment of the fracture fragment (if available) followed by post and core supported restorations [1,4,5]. Common restorative treatments such as laminated veneers or full-coverage restoration may be considered after multiple fragment rebonding/ composite resin restorations have been done and this option is no longer functional.…”

Post-Trauma Root Fracture in Teeth With Incomplete Root Development: A Case Report

“…Despite clinical success, the need for sound patient compliance and parental support to maintain oral hygiene is important [26]. Further identification of risk factors for traumatic dental injury is encouraged, and measures to prevent future trauma incidents, such as the creation of a safe physical environment for the child and a supportive social environment, are essential [27,28].…”

The Management of Crown Fracture of Immature Teeth by MTA and Calcium Hydroxide: Case Reports

“…Traumatic injuries to teeth with or without pulpal involvement occur in children and adolescents [1]. The majority of these injuries occur before root formation is complete, causing in some cases pulp inflammation and necrosis, with possible impact on the quality of life of affected individuals [2,3].…”