scholarly journals Multidisciplinary Approach to the Treatment of an Unusual Crown Fracture after Trauma: Alternative Technique Proposal

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Cesar dos Reis Perez
Keyword(s):  
Multidisciplinary Approach ◽  
Traumatic Injury ◽  
Dental Trauma ◽  
Multidisciplinary Management ◽  
Isolation Technique ◽  
Root Fracture ◽  
Crown Root ◽  
Alternative Approach ◽  
Unique Aspect ◽  
Pulp Exposure

This case report presents multidisciplinary management of a sub gingival crown-root fracture of a 15-year-old patient referred to the dental trauma clinic with an extensive tooth fracture of the permanent maxillary central incisors after a traumatic injury during a volleyball game. This work aimed to present an alternative approach for complicated dental fracture after trauma obtaining immediate resolution. A unique aspect of the case was that the patient was referred from the semiology clinic without pain and with signs of extensive cracking after 13 days of trauma. However, no endodontic involvement was observed either clinically or radio graphically. After examining a probe, the fracture trace dislocated with pulp exposure and sub-gingival extension. An alternative isolation technique was presented to enable immediate endodontic treatment and restoration of fractured teeth.

Crown-root Fracture Restoration on a Patient with Autism Spectrum Disorder

2016 ◽  
Vol 17 (9) ◽  
pp. 769-773 ◽  
Author(s):  
Edna Perez ◽  
Linda S Behar-Horenstein ◽  
Marcio Guelmann
Keyword(s):  
Autism Spectrum Disorder ◽  
Dental Trauma ◽  
Autism Spectrum ◽  
Open Bite ◽  
Spectrum Disorder ◽  
Root Fracture ◽  
Crown Root ◽  
Alternative Approach ◽  
Muscular Coordination ◽  
Strip Crown

ABSTRACT Introduction Children with intellectual and physical disabilities including autism are susceptible to dental trauma as a sequela from falls due to poor muscular coordination. In addition, their altered muscle tonus often results in an open bite with labial flaring of the maxillary incisors and lip incompetence, predisposing these teeth to fractures. This case report describes an alternative approach of restoring a fractured maxillary permanent central incisor with a composite strip crown during surgical repositioning of the periodontium on an autistic patient. The prognosis of the incisor is guarded due to the probability of re-injury. However, the decision to maintain the tooth clinically was esthetically preferable in comparison to an extraction or decoronation. How to cite this article Perez E, Behar-Horenstein LS, Guelmann M. Crown-root Fracture Restoration on a Patient with Autism Spectrum Disorder. J Contemp Dent Pract 2016;17(9):769-773.

scholarly journals Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Central Incisor ◽  
Root Fracture ◽  
Crown Root ◽  
Pulp Exposure ◽  
Traumatic Dental Injuries ◽  
The Right ◽  
Dental Injuries

Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.

Multidisciplinary Approach to Complicated Crown-root Fracture Treatment: A Case Report

2021 ◽  
Author(s):  
MD Alves ◽  
MA Tateyama ◽  
NNO Pavan ◽  
AF Queiroz ◽  
MCP Nunes ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Dental Trauma ◽  
Good Prognosis ◽  
Root Fracture ◽  
Crown Root ◽  
Root Fractures ◽  
Viable Approach ◽  
Biologic Width ◽  
Composite Restoration

SUMMARY Treatment of complicated crown-root fractures is one of the most challenging within the various types of dental trauma and requires a multidisciplinary approach. This paper reports the complicated crown-root fracture of a maxillary right central incisor, in which there was esthetic, functional, and biologic (endodontic and biologic width invasion) involvement. A 15-year-old male patient presented to the dental clinic one month after suffering trauma with a complicated crown-root fracture on tooth 8. The patient had previously undergone endodontic treatment and was sent to have periodontal surgery to reestablish the biological width on the palatal surface. Following the surgery, a fiberglass post was cemented, and the fragment was reattached. This approach allows the exposure of the cervical margin, adequate isolation, and subsequent fragment reattachment in the same clinical appointment. Fragment reattachment is a viable approach as it is a simple and conservative procedure that restores the natural esthetic of the tooth and has superior resistance compared to a composite restoration. The patient’s cooperation in understanding the limitations of the treatment and maintaining adequate oral hygiene are very important to achieving a good prognosis of the case. After a 2-year clinical and radiographic follow-up period, the clinical protocol was found to be successful, and the tooth remained functional, esthetically favorable and asymptomatic.

scholarly journals Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment

2016 ◽  
Vol 6 (1) ◽  
pp. 52-56
Keyword(s):  
Case Report ◽  
Surface Texture ◽  
Simple Procedure ◽  
Dental Trauma ◽  
Central Incisor ◽  
Fiber Post ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Crown Root ◽  
Anterior Teeth

ABSTRACT Crown fractures of the anterior teeth are a common form of dental trauma mainly affecting children and adolescents. One of the options for managing crown fractures is the reattachment of the fractured fragment when the tooth fragment is available with minimal or no violation of the biological width. Reattachment of fractured fragments can provide good esthetics, as it maintains the tooth's original anatomic form, color, and surface texture. It also restores function and is a relatively simple procedure. This case report deals with the esthetic management of a crown-root fracture that was successfully treated with endodontic treatment followed by reattachment of fractured fragment with fiber post. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment. J Contemp Dent 2016;6(1):52-56.

scholarly journals Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation

2014 ◽  
Vol 32 (2) ◽  
pp. 190 ◽  
Author(s):  
VinayaKumar Kulkarni ◽  
ChitraP Bhusari ◽  
DivyaS Sharma ◽  
Prashant Bhusari ◽  
Jeevanand Deshmukh ◽  
...  
Keyword(s):  
Multidisciplinary Management ◽  
Root Fracture ◽  
Crown Root ◽  
Biologic Width

scholarly journals Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Merve Mese ◽  
Merve Akcay ◽  
Bilal Yasa ◽  
Huseyin Akcay
Keyword(s):  
Composite Resin ◽  
Pediatric Dentistry ◽  
Multidisciplinary Management ◽  
Flap Surgery ◽  
Successful Management ◽  
Root Fracture ◽  
Crown Root ◽  
Maxillary Lateral Incisor ◽  
The Right ◽  
Luting Composite

The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disclosed that the apexification procedure had been started to be performed after his first trauma experience and he had neglected his appointment. The coronal fragment was gently extracted; endodontic treatment was performed; flap surgery was performed to make the fracture line visible. The coronal fragment was reattached to the root fragment with a dual-cure luting composite. A fiber post was stabilized and the access cavity of the tooth was restored with composite resin. At the end of the 24th month, the tooth was asymptomatic, functionally, esthetically acceptable and had no periapical pathology. It is important for the patients undergoing apexification treatment to keep their appointments because of the fracture risk. Restoration of the fractured tooth by preparing retention grooves and a bonding fiber-reinforced post are effective and necessary approaches for successful management.

scholarly journals Management of Horizontal and Multiple Crown-Root Fractures

2011 ◽  
Vol 2 (4) ◽  
pp. 338-341
Author(s):  
Ramya Raghu ◽  
DS Sahana
Keyword(s):  
Dental Health ◽  
Traumatic Injury ◽  
Mineral Trioxide Aggregate ◽  
Fracture Site ◽  
Root Fracture ◽  
Delayed Treatment ◽  
Crown Root ◽  
Root Fractures ◽  
One Year

ABSTRACT Traumatic injury to oral cavity with accompanying tooth fracture can be a tragic experience for the patient and is a problem that requires experience, judgment and skill of the dentist. The dental health and appearance marred by an unsightly injury must be restored to normal as soon as possible. Though, root fractures comprise 0.5 to 7% of injuries affecting the permanent dentition, improper and delayed treatment can lead to loss of tooth. This report records a clinical case of intraalveolar horizontal mid root fracture in maxillary right central incisor with subluxation of coronal segment, which was managed endodontically using mineral trioxide aggregate (MTA), as an apical barrier at the fracture site. Maxillary right lateral and left central incisors affected by oblique crown-root fracture which were restored by custom-cast post and crown. After one year follow-up, the teeth were asymptomatic and showed signs of healing apical to the MTA barrier.

scholarly journals Multidisciplinary Approach in the Rehabilitation of Complicated Crown-root Fracture: A Case Report

2014 ◽  
Vol 4 (2) ◽  
pp. 51-55
Author(s):  
Nisha Acharya ◽  
Praveen Singh Samant ◽  
Vanita Gautam ◽  
Ourvind Singh ◽  
Hemanta Halwai
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Fracture Line ◽  
Dental Practice ◽  
Root Fracture ◽  
Traumatic Injuries ◽  
Tooth Structure ◽  
Crown Root ◽  
Anterior Teeth ◽  
Orthodontic Extrusion

The management of patients with traumatic injuries to their dentition poses a serious challenge in everyday general dental practice. For the rehabilitation of the complicated subgingival crown fracture of anterior teeth, multidisciplinary approach is often indicated. A combination of endodontic, orthodontic, periodontal and prosthodontic approach may be required. Orthodontic or periodontal intervention becomes an integral part for the exposure of the sound tooth structure of fractured anterior teeth with fracture line extending subgingivally. The aim of this paper is to discuss the immediate endodontic management followed by orthodontic extrusion of traumatized upper anterior teeth with fracture at the subgingival level. In order to expose the sound tooth structure for prosthodonticintervention, orthodontic extrusion was performed after endodontic treatment. To avoid extraction of the involved teeth, the multidisciplinary approach was adopted and finally the teeth were restored prosthodontically. The final result was esthetically pleasant and periodontically sound. 

scholarly journals Multidisciplinary Approach in a Child with Complex Trauma of Maxillary Permanent Central Incisors

2019 ◽  
pp. 147-154
Author(s):  
Lucisano MP ◽  
Corrêa Leite RGL ◽  
Nelson-Filho P ◽  
Minto AMP ◽  
Ferraz JAB ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Multidisciplinary Approach ◽  
Complex Trauma ◽  
Central Incisor ◽  
Present Case Report ◽  
Root Fracture ◽  
Crown Root ◽  
One Year

The present case report describes a multidisciplinary approach involving endodontic, restorative, surgical and periodontal treatment and rehabilitation of a central incisor with crown-root fracture (CRF) in an 11-year-old child. Although in the future possible sequelae and complications should be considered since it is an extensive trauma, the prognosis of the present case is favorable, with the occurrence of repair, evidenced by clinical, radiographic and tomographic success, after one year and six months of follow-up. It was concluded that the association of prolonged flexible splint, biological endodontic treatment, gingivoplasty and restorative/rehabilitative procedures seem to be an adequate and conservative management for CRF cases.

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