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

2011 ◽  
Vol 22 (3) ◽  
pp. 258-262 ◽  
Author(s):  
Sandra Rivera Fidel ◽  
Rivail Antonio Sergio Fidel-Junior ◽  
Luciana Moura Sassone ◽  
Cristiana Francescutti Murad ◽  
Rivail Antonio Sergio Fidel
Keyword(s):  
Trauma Treatment ◽  
Central Incisor ◽  
Periapical Lesion ◽  
Root Canal Filling ◽  
Core System ◽  
Root Fracture ◽  
Crown Root ◽  
Clinical Procedures ◽  
Orthodontic Extrusion

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.

scholarly journals Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Gabriela Cristina de Oliveira ◽  
Juliana Calistro da Silva ◽  
Franciny Querobim Ionta ◽  
Catarina Ribeiro Barros de Alencar ◽  
Priscilla Santana Pinto Gonçalves ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Central Incisor ◽  
Periapical Lesion ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Delayed Treatment ◽  
Crown Root ◽  
Oral Environment ◽  
Radiographic Changes

Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. This report presents the case of a 4-year-old boy with complicated crown fracture with pulp polyp in the primary right maxillary central incisor (51) and crown-root fracture with pulp involvement in the primary left maxillary central incisor (61), which was treated only 3 months after the tooth injuries. The treatment of choice was extraction of tooth (61) due to a periapical lesion with disruption of the dental follicle of the permanent successor and pulpotomy (MTA) of the tooth (51), because the pulp presented signs of vitality. At the follow-up visits, no clinical, symptomalogical, and radiographic changes were observed until the primary tooth’s exfoliation. However, at 3-year follow-up, the permanent successors showed hypocalcification and the position of the permanent right maxillary central incisors (11) was altered. Besides the conservative and adequate delayed treatment, the sequelae on the permanent successors could not be avoided.

Reattachment and Orthodontic Extrusion in the management of an incisor crown-root fracture: A case report

2006 ◽  
Vol 30 (3) ◽  
pp. 211-214 ◽  
Author(s):  
B Suprabha ◽  
M Kundabala ◽  
M Subraya ◽  
P Kancherla
Keyword(s):  
Case Report ◽  
Treatment Modality ◽  
Central Incisor ◽  
Periodontal Health ◽  
Root Fracture ◽  
Crown Root ◽  
Orthodontic Extrusion

This article describes the management of a case of oblique crown root fracture of a central incisor where the fractured fragment was used as a temporary replacement crown in order to maintain esthetics during the period of orthodontic extrusion of the remaining root. Placement of the final restoration after orthodontic extrusion resulted in good esthetics and periodontal health postoperatively. The merits and demerits of this treatment modality are discussed.

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.

scholarly journals Orthodontic Extrusion as Treatment Option for Crown- Root Fracture: Literature Review with Systematic Criteria

2015 ◽  
Vol 16 (9) ◽  
pp. 758-762 ◽  
Author(s):  
Roberta Okamoto ◽  
Lorraine Perciliano de Faria ◽  
Melyna Marques de Almeida ◽  
Marina Fuzette Amaral ◽  
Marcos Rogério Mendonça
Keyword(s):  
Literature Review ◽  
Treatment Option ◽  
Scientific Evidence ◽  
Cochrane Central Register ◽  
Root Fracture ◽  
Crown Root ◽  
Manual Search ◽  
Central Register ◽  
Orthodontic Extrusion

ABSTRACT Objective To review the literature searching for a consensus for the choice of orthodontic extrusion as treatment for crownroot fracture. Materials and methods An electronic search was performed in the databases PubMed, Cochrane Central Register of Controlled Trials and Scopus and a manual search of the Journal Dental Traumatology. Results Forty articles were found in PubMed and 38 in Scopus and after removal of duplicate sample 51 contained articles. Of these, 48 were excluded for not having orthodontic treatment, no follow-up or follow-up less than 6 months, or not report the presence of crown-root fracture. In manual search in Dental Traumatology 20 articles were found, but none of them met the prerequisites established. So, three articles formed the basis of the study. Conclusion The choice of how to treat orthodontic extrusion of crown-root fracture was effective and stable, without root and periodontal changes. Factors, such as root formation and presence of pulp vitality were decisive for determining the stages of treatment, however, there is no consensus based on scientific evidence about these protocols. How to cite this article de Faria LP, de Almeida MM, Amaral MF, Pellizzer EP, Okamoto R, Mendonça MR. Orthodontic Extrusion as Treatment Option for Crown-Root Fracture: Literature Review with Systematic Criteria. J Contemp Dent Pract 2015;16(9):758-762.

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.

Conservative Treatment of a Complicated Crown-root Fracture Using Adhesive Fragment Reattachment and Composite Resin Restoration: Two Year Follow-up

2018 ◽  
Vol 43 (3) ◽  
pp. E102-E109 ◽  
Author(s):  
AV Martins ◽  
RC Albuquerque ◽  
LD Lanza ◽  
ÊL Vilaça ◽  
NRFA Silva ◽  
...  
Keyword(s):  
Dental Morphology ◽  
Radiographic Findings ◽  
Root Fracture ◽  
Periodontal Tissues ◽  
Crown Root ◽  
Clinical Procedures ◽  
Anterior Teeth ◽  
Central Support ◽  
Fracture Types

SUMMARY Crown-root fracture is one of the most challenging fracture types in the dental traumatology literature. Traumatized anterior teeth require quick functional and esthetic repair. In the case of a complex crown fracture of the maxillary left central incisor, requiring endodontic treatment, a fiber-reinforced post was used to create a central support stump to restore the dental morphology. This report describes the clinical procedures involved in the treatment. After two years of follow-up, the clinical and radiographic findings demonstrated that the adopted clinical protocol was successful and yielded healthy periodontal tissues with no signs of periradicular pathology.

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.

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