Management of a midroot and complicated crown fracture: a case report

Sheikh-Nezami, Mahshid; Mokhber, Nima; Shamsian, Kh.; Saket, Salman

doi:10.1016/j.tripleo.2009.01.030

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…According to the severity of the trauma, a large spectrum of complications varying from isolated to multiple injuries such as crown fracture, root fracture, or luxation may be seen in the involved tooth or teeth (10)(11)(12). Vital pulp with a complicated crown fracture and a root fracture represent a very rare type of injury, as shown by Cvek et al (13) and SheikhNezami et al (14).…”

Section: Discussionmentioning

confidence: 99%

Delayed Partial Pulpotomy in a Midroot and Complicated Crown-root–fractured Permanent Incisor with Hyperplastic Pulpitis: A Case Report

Çalışkan¹,

Savranoğlu²

2010

Journal of Endodontics

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Section: Discussionmentioning

confidence: 99%

Delayed Partial Pulpotomy in a Midroot and Complicated Crown-root–fractured Permanent Incisor with Hyperplastic Pulpitis: A Case Report

Çalışkan¹,

Savranoğlu²

2010

Journal of Endodontics

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“…Then, a cervical pulpotomy was performed aiming to achieve apexogenesis. Pulpotomy was carried out with a diamond bur at high speed under normal saline irrigation (12), and a calcium hydroxide paste wad used to cover the pulp tissue (12). Afterwards, the coronal fragment was bonded with a rigid splint and light-cured composite resin (TPH Spectrum; Dentsply Ind.…”

Section: Case Reportmentioning

confidence: 99%

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

et al. 2011

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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.

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“…Nos casos de fraturas complicadas, o tratamento consiste em remoção de fragmentos, gengivectomia, tratamento endodôntico e tratamento restaurador, ou ainda remoção de fragmentos associada à extrusão ortodôntica do fragmento apical ou extrusão cirúrgica do mesmo, associada ao tratamento endodôntico e protético [8][9][10][11][12][13][14][15] . O presente trabalho relatou um caso de fratura coronorradicular complicada e a abordagem multidisciplinar dada ao caso.…”

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“…Outra opção de tratamento seria a extrusão cirúrgica do fragmento, um processo mais rápido que o citado anteriormente, mas havia o risco de ocorrer reabsorção radicular e colapso marginal do periodonto 9,11 . Entre os tipos de tratamento propostos para fraturas coronorradiculares complicadas, pode-se citar o sepultamento radicular, em casos nos quais o fragmento apical não sustentaria uma restauração protética e teria como principal função a manutenção óssea; porém, tal procedimento não pode ser realizado em áreas com comprometimento estético.…”

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“…O tracionamento ortodôntico pode ser realizado em dois momentos distintos, isto é, tratamento endodôntico, ortodôntico e, posteriormente, restaurador 9,21,22 , ou ainda tratamento endodôntico, restaurador provisório, ortodôntico e, posteriormente, restaurador definitivo 25 . No presente caso, optou-se por realizar o tracionamento ortodôntico após o tratamento endodôntico e a confecção de uma coroa provisória, favorecendo, dessa forma, a estética da paciente.…”

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Fratura coronorradicular: uma abordagem multidisciplinar

Prado

Gomes

Telles

et al. 2012

Rev. odontol. UNESP

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ResumoIntrodução: Uma fratura coronorradicular envolve esmalte, dentina e cemento, podendo ou não haver comprometimento pulpar. Vários tratamentos são propostos na literatura, desde a colagem do fragmento dental até a extrusão cirúrgica do fragmento remanescente. O presente trabalho descreve um caso de fratura coronorradicular com envolvimento pulpar e a abordagem multidisciplinar dada ao caso. Descrição do caso clínico: Paciente procurou tratamento odontológico por causa de um "dente quebrado". O tratamento realizado consistiu em um retalho mucoperiosteal para remoção dos fragmentos dentais, tratamento endodôntico, restauração provisória, extrusão ortodôntica, uma nova restauração e a proservação do caso. Conclusão: Em pacientes jovens, na região anterior, a extrusão ortodôntica acompanhada do tratamento restaurador é uma opção de tratamento conservador e estético.Descritores: Fratura coronorradicular; tratamento multidisciplinar; endodontia; ortodontia. AbstractIntroduction: A crown-root fracture involves enamel, dentin and cementum. There may or may not be pulp involvement. Several treatments are proposed in the literature, going from a simple bond of dental fragments to surgical extrusion of the dental remaining fragments. The article describes a case of crown-root fracture with pulp involvement, and the multidisciplinary approach applied to the case. Case report: Patient required dental treatment due to a "broken tooth". The treatment consisted in a mucoperiosteal flap to remove dental fragments, endodontic treatment, temporary restoration, orthodontic extrusion, a new restoration, and the follow-up of the case. Conclusion: While treating the anterior teeth of young patients, the orthodontic extrusion accompanied by restorative treatment is the most conservative and aesthetic option of treatment.

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Management of a midroot and complicated crown fracture: a case report

Cited by 7 publications

References 13 publications

Delayed Partial Pulpotomy in a Midroot and Complicated Crown-root–fractured Permanent Incisor with Hyperplastic Pulpitis: A Case Report

Delayed Partial Pulpotomy in a Midroot and Complicated Crown-root–fractured Permanent Incisor with Hyperplastic Pulpitis: A Case Report

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

Fratura coronorradicular: uma abordagem multidisciplinar

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