Complicated Crown-root Fracture Management Using the 180-degree Rotation Method

Mokhtari, Saeedeh; Hajian, Shima; Sanati, I

doi:10.5005/jp-journals-10005-1625

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Crown-root fracture originates from the crown and extends apically in an oblique direction[ 1 ]. It is usually caused by fall, fight, traffic accident, or foreign bodies[ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous healing of complicated crown-root fractures in children: Two case reports

Zhou¹,

Gao²,

Sun³

et al. 2022

WJCC

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BACKGROUND Complicated crown-root fracture is considered a severe dental trauma and is unlikely to heal without treatment. Usually, dentists have to remove the loose coronal fragment of the fractured tooth and treat the remaining part with multidisciplinary approaches. However, we observed spontaneous healing of fracture in two pediatric cases with a history of complicated crown-root fractures over 4 years ago. CASE SUMMARY In case 1, a 12-year-old boy complained of pain at tooth 11 following an accidental fall 1 d ago. Clinical examination showed a crack line on the crown of tooth 11. Cone beam computed tomography (CBCT) images of tooth 11 showed signs of hard tissue deposition between the fractured fragments. The patient recalled that tooth 11 had struck the floor 1 year ago without seeking any other treatment. In case 2, a 10-year-old girl fell down 1 d ago and wanted to have her teeth examined. Clinical examination showed a fracture line on the crown of tooth 21. CBCT images of tooth 21 also showed signs of hard tissue deposition between the fractured fragments. She also had a history of dental trauma 1 year ago and her tooth 11 received dental treatment by another dentist. According to her periapical radiograph at that time, tooth 21 was fractured 1 year ago and the fracture was overlooked by her dentist. Both of these two cases showed spontaneous healing of complicated crown-root fractures. After over 4 years of follow-up, both fractured teeth showed no signs of abnormality. CONCLUSION These findings may provide new insights and perspectives on the management and treatment of crown-root fractures in children.

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“…Crown-root fracture originates from the crown and extends apically in an oblique direction[ 1 ]. It is usually caused by fall, fight, traffic accident, or foreign bodies[ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous healing of complicated crown-root fractures in children: Two case reports

Zhou¹,

Gao²,

Sun³

et al. 2022

WJCC

View full text Add to dashboard Cite

show abstract

Multidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up

Di,

Zhang,

et al. 2024

BMC Oral Health

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Background Pediatric anterior teeth complex crown-root fractures has high incidence and pose greater treatment challenges. Dynamic tooth development increases risks for orthodontic, periodontal, and restorative treatments. Case description The authors present a case of a 12-year-old boy with a complex crown-root fracture in the right maxillary central incisor. Initial treatment involved following IADT guidelines and extracting the fractured crown for orthodontic and restorative care. Collaboration among periodontists, orthodontists, and restorative dentists facilitated orthodontic traction and resin restoration, along with subgingival restoration surface treatment, improving periodontal health. Over 8 years, stable tooth and periodontal health with satisfactory aesthetics were observed, without inflammation or pain. Conclusion Follow-up of 8 years showed favorable prognosis for the affected tooth, highlighting the essential role of periodontists and consideration of periodontal health in managing complex crown-root fractures in children.

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Comprehensive Management of Crown-root Fracture: A Case Series

Kavitha,

Velusamy

2024

Journal of Operative Dentistry &Amp; Endodontics

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Complicated Crown-root Fracture Management Using the 180-degree Rotation Method

Cited by 3 publications

References 27 publications

Spontaneous healing of complicated crown-root fractures in children: Two case reports

Spontaneous healing of complicated crown-root fractures in children: Two case reports

Multidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up

Comprehensive Management of Crown-root Fracture: A Case Series

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