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 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.

Biological Restoration in a Young Patient with a Complicated Crown Root Fracture with an Autogenous Tooth Fragment

2013 ◽  
Vol 38 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Vinaya Kumar Kulkarni ◽  
Raja Sridhar ◽  
Mahesh Kumar Duddu ◽  
Naveen Reddy Banda ◽  
Saket Vyawahare ◽  
...  
Keyword(s):  
Composite Resin ◽  
Simple Procedure ◽  
Careful Evaluation ◽  
Root Fracture ◽  
Tooth Structure ◽  
Crown Root ◽  
Bonding System ◽  
Glass Fiber Post ◽  
Root Fractures ◽  
Biologic Width

Crown-root fractures are one of the most challenging trauma cases to treat. Reattachment of tooth fragment to a fractured tooth being a simple procedure conserves the tooth structure, maintains the natural esthetics value and is thus considered as a favorable treatment option. The reattachment procedure using composite resin should be considered if the subgingival fracture can be exposed to provide isolation after a careful evaluation of the biologic width involvement. This case report presents a complicated crown-root fracture of permanent maxillay left central incisor, involving the biologic width in an 11-year-old boy. The traumatized tooth was treated endodontically and reinforced by using glass fiber-post. Access to the subgingival margins was gained by electro surgery. The fractured fragment was reattached using bonding system and composite resin.

scholarly journals Conservative Management of the Horizontal Root Fracture in the Middle Third using Fiber Post as an Intraradicular Splint

2020 ◽  
Vol 8 (C) ◽  
pp. 146-150
Author(s):  
Sneha Dhruvkumar Vaswani ◽  
Sathish Abraham ◽  
Harshal Balasaheb Najan ◽  
Rohini Ramesh Karad
Keyword(s):  
Case Report ◽  
Glass Fibre ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Fiber Post ◽  
Root Fracture ◽  
Root Fractures ◽  
Horizontal Root Fracture

BACKGROUND: Root fractures are uncommon injuries in permanent teeth and account for only 0.5–7% of dental trauma. It occurs more frequently in fully erupted permanent teeth, in which the completely formed root with closed apices is solidly supported in the bone and periodontium. This may lead to complex consequences due to the combined damage to the pulp, dentine, cementum, bone, and periodontium. They are transverse to oblique in direction and result from a horizontal impact. Their incidence is more in the middle third of the root than at the cervical and apical thirds. CASE REPORT: This paper describes a case of complicated horizontal root fracture at the middle third of the maxillary right central incisor. After receiving an endodontic treatment, the fractured root fragments of the maxillary right central incisors were united with the help of a glass fibre post. Eventually, the incisor was restored with a zirconia crown. CONCLUSION: Follow-up after a year revealed a well-stabilized assembly of the root fragments and the post.  

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.

Dental trauma: management of complicated crown root fractures

Dental Update ◽  
2019 ◽  
Vol 46 (11) ◽  
pp. 1050-1055
Author(s):  
Khawer Ayub ◽  
James Darcey
Keyword(s):  
Functional Result ◽  
Dental Trauma ◽  
Traumatic Injuries ◽  
Crown Root ◽  
Anterior Teeth ◽  
Dental Practitioners ◽  
Root Fractures ◽  
Maxillary Incisors ◽  
Made In

Trauma of maxillary incisors is frequent and dental practitioners have to be competent in managing the consequences. Complicated crown root fractures of anterior teeth can have profound aesthetic and psychological implications on patients. In younger patients, if extractions are considered, it can lead to complex prosthodontic challenges in the future. Ideally, an attempt should be made in restoring the traumatized teeth, so an effective aesthetic and functional result can be reached. This case report highlights the treatment of complicated crown root fractures on maxillary incisors using endodontics and fragment re-attachment of the fractured crowns. Twelve-month follow-up of the treatment demonstrated aesthetic and functional success and delayed the need for prosthetic replacement. CPD/Clinical Relevance: This paper describes traumatic injuries of teeth and how management via fragment re-attachment of the fractured crowns has led to delay of definitive prosthetic treatment.

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.

scholarly journals Management of Crown-Root Fracture in Primary Canine by Surgical Extrusion: A Case Report with 1-Year Follow-Up

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
I. Kanimozhi ◽  
Mahesh Ramakrishnan ◽  
Dhanalakshmi Ravikumar ◽  
Ningthoujam Sharna
Keyword(s):  
Case Report ◽  
Alveolar Bone ◽  
Primary Tooth ◽  
Root Fracture ◽  
Crown Root ◽  
Pediatric Dentist ◽  
Root Fractures ◽  
One Year ◽  
Primary Canine

Complicated crown-root fractures of primary teeth often present with a greater challenge to the pediatric dentist. Extraction of the involved tooth is the routine treatment indicated. But, early loss of this primary tooth may lead to esthetic and psychological problems and also causes a detrimental effect on the development of occlusion and the alveolar bone. The present case report described the management of crown-root fracture in a primary canine by surgical extrusion and showed a satisfactory prognosis at one-year follow-up.

Conservative Treatment of Complicated Oblique Crown-root Fractures of Molars: A Report of Five Representative Cases

2013 ◽  
Vol 38 (3) ◽  
pp. E67-E75 ◽  
Author(s):  
P Wang ◽  
W He ◽  
L Ni ◽  
Q Lu ◽  
H Sun
Keyword(s):  
Conservative Treatment ◽  
Treatment Procedure ◽  
Root Fracture ◽  
Tooth Structure ◽  
Crown Root ◽  
Root Fractures ◽  
Periodontal Healing

SUMMARY The five cases presented here describe a conservative treatment procedure for complicated crown-root fractures of molars with extensive loss of tooth structure. After the mobile crown-root fragments were extracted, the remaining crowns were restored at the juxtagingival level. The follow-up time ranged from two years, seven months, to four years. At the follow-up examinations, all of the teeth were asymptomatic and had healthy clinical appearances. There was no evidence of pockets related to fractures. The results of these cases show that complete periodontal healing is possible with conservative treatment of complicated crown-root fracture of molars.

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