Multidisciplinary approach of complicated crown fractures of both superior central incisors: a case report

Valceanu, Anca S.; Stratul, Ştefan‐Ioan

doi:10.1111/j.1600-9657.2008.00572.x

Cited by 17 publications

(11 citation statements)

References 9 publications

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“…The global ideal score is 16 for non‐comparative studies and 24 for comparative studies . Further, we categorized the quality of the study into poor (0–5), fair , and good . MINORS scale gave three options during assessment which was more convenient than Yang's assessment instrument for case series which scores 0 and 1.…”

Section: Methodsmentioning

confidence: 99%

Adverse events of surgical extrusion in treatment for crown–root and cervical root fractures: a systematic review of case series/reports

Elkhadem

Mickan

Richards³

2013

Dental Traumatology

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-Background: Crown-root and cervical root fractures constitute a restorative challenge due to sub-gingival position of the fracture margin. Surgical tooth extrusion is one of the treatment options. There is uncertainty regarding the prognosis of such treatment modality. Objective: To assess adverse events of surgical tooth extrusion in the treatment for crown-root and cervical root fractures in permanent teeth. Methods: PubMed, Embase, and Google Scholar were searched through 15th of June 2012. Search was limited to English and Arabic languages. Reference list of relevant studies were hand-searched. Grey literature was searched using Open Grey. Two review authors independently extracted data, while only one assessed trial quality using 8-point methodological index for non-randomized studies (MINORS) scale. A sensitivity analysis was performed to exclude studies with suspected patients' duplicates. Results: Eleven case reports and eight case series involving 226 patients with 243 teeth were identified. No randomized controlled trials were found. The mean quality score for all case series was 9 suggesting a fair quality, while that of all case reports was 5 suggesting poor quality. Non-progressive root resorption is the most common finding following surgical extrusion with an event rate of 30% (95% CI 24.6-36.7%). This is followed by low event rates of tooth loss (5%), slight mobility (4.6%), marginal bone loss (3.7%), and progressive root resorption (3.3%). No ankylosis occurred to any extruded tooth, while severe tooth mobility showed negligible overall event rate of 0.4%. Conclusion: The available evidence suggests that surgical tooth extrusion is a valid technique in management of crown-root and cervical root fracture of permanent teeth. Minimal adverse events and good prognosis are expected. Further, surgical extrusion can be considered as a treatment option in teeth suffering sub-gingival decay.Crown-root fracture (CRF) is a fracture involving enamel, dentin, and cementum (1) (Figs 1 and 2) with or without pulp involvement, while cervical root fracture (CRR) is a fracture involving cementum, dentin, and pulp extending from the alveolar bone crest up to 5 mm below (2). The prevalence of CRF is 5% in permanent dentition (3), while all root fractures affect 0.5-7% of permanent teeth (4, 5).The sub-gingival location of the fracture margin in crown-root and cervical root fracture constitutes a restorative challenge. The sub-gingival placement of the restorative margin would encroach on the biologic width with subsequent gingival inflammation, clinical attachment loss, and bone loss. This would be clinically manifested as gingival bleeding, deepened periodontal pockets or gingival recession (6, 7). Several treatment modalities have been proposed to address this problem: extraction (8) of traumatized tooth, crown lengthening by gingivectomy and ostectomy (9, 10), intentional replantation (11, 12), reattachment of the coronal fragment to the root surface (13), and root extrusion (14) whether orthodontic (15...

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Section: Methodsmentioning

confidence: 99%

Adverse events of surgical extrusion in treatment for crown–root and cervical root fractures: a systematic review of case series/reports

Elkhadem

Mickan

Richards³

2013

Dental Traumatology

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“…One of the factors that play an important role in the success of fragment reattachment is the mode of storage of the fragment following trauma. Most of the case reports have highlighted the importance of hydrating the fractured segments (9)(10)(11). Hydration maintains the vitality and original esthetic appearance of the tooth (12,13).…”

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confidence: 99%

Evaluation of the effect of storage medium on fragment reattachment

Sharmin

Thomas

2012

Dental Traumatology

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“…Reattachment of the tooth fragment is the most conservative and biological treatment available in case of crown-root fractures if the fractured tooth fragments are available and reported early in a clean and hydrated state 2. Reattachment can be done with the help of fibre-reinforced posts which provides increased retention of fractured crown segment and is less subjected to root fracture due to adhesive and elastic properties 3. In cases of fractures extending subgingivally, an envelope flap helps to achieve the desired isolation and visibility.…”

Section: Descriptionmentioning

confidence: 99%