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 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 Management of complicated crown root fracture using pizeo surgery, fiber post and fragment reattachment: A case report

2021 ◽  
Vol 6 (3) ◽  
pp. 160-165
Author(s):  
Sheena S Raj ◽  
A. Devadathan ◽  
Baby James ◽  
Minimol K Johny ◽  
Emil George ◽  
...  
Keyword(s):  
Case Report ◽  
Common Type ◽  
Fiber Post ◽  
Root Fracture ◽  
Crown Root ◽  
Anterior Teeth ◽  
Psychological Reaction ◽  
Difficult Procedure ◽  
Improved Function ◽  
Type Of Fracture

A common type of fracture involving tooth is complicated crown root fracture of anterior teeth. The reattachment of the coronal fragment to the remaining tooth will provide better and long-lasting aesthetics, improved function and a positive psychological reaction. It is a simple and less difficult procedure if the original tooth fragments are retained after fracture. This paper reports about a case of complicated crown root fracture that was treated successfully using broken fragment adhesive reattachment and post placement.

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 Trans-operative reattachment of crown-root fragment: fundamentals of the technique and a case report

2015 ◽  
Vol 63 (4) ◽  
pp. 477-483
Author(s):  
José Carlos Viana RIBEIRO ◽  
Marília Mota SILVA ◽  
Carlos Augusto de Oliveira FERNANDES
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Crown Root ◽  
Anterior Teeth ◽  
And Function

The functional and aesthetic restoration of crown-root fractured anterior teeth with biological width involvement represents a challenge to the clinician, because it requires a multidisciplinary approach. The trans-operative fragment reattachment technique is a feasible and advantageous alternative since it makes it possible to reestablish the original aesthetics and function of the fractured tooth in a single appointment. This work presents the fundamentals of this technique, highlighting its advantages, indications and limitations. The applications of the surgical and restorative procedures are demonstrated by way of a case report.

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 Management of subgingivally fractured maxillary anterior tooth: a multidisciplinary approach

2019 ◽  
Vol 12 (7) ◽  
pp. e231036
Author(s):  
Anamika Thakur ◽  
Karandeep S Arora ◽  
Kirandeep Kaur ◽  
Surya Dahiya
Keyword(s):  
Conservative Treatment ◽  
Multidisciplinary Approach ◽  
Young Patients ◽  
Cost Effective ◽  
Treatment Choice ◽  
Anterior Tooth ◽  
Traumatic Injuries ◽  
Anterior Teeth ◽  
Orthodontic Extrusion

The major challenge in traumatic injuries is the management of subgingival fracture of anterior teeth. Forced orthodontic extrusion is a suitable approach for these teeth as it provides both a sound tissue margin for final restoration and creates a periodontal environment (biological width) which is easy for the patient to maintain. Restoration after orthodontic eruption may present a more conservative treatment choice in young patients compared with the prosthetic restoration after extraction. This paper reports a case of the fractured maxillary anterior tooth at the subgingival level that was managed by forced orthodontic extrusion after endodontic therapy followed by aesthetic rehabilitation, a much-forgotten technique not utilised routinely yet conservative and cost-effective.

scholarly journals Management of Crown Root Fracture by Interdisciplinary Approach

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
K. Radhakrishnan Nair ◽  
Anoop N. Das ◽  
Manoj C. Kuriakose ◽  
Nandakumar Krishnankutty
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Interdisciplinary Approach ◽  
Periodontal Tissue ◽  
Fiber Reinforced ◽  
Root Fracture ◽  
Crown Root ◽  
Anterior Teeth ◽  
Tooth Form ◽  
Root Fractures

Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patients confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable. Reattachment is an option for restoration of anterior teeth compared to other artificial replacements because of its appearance as natural. This method is favourable when the fractured fragment is intact and available. Utilization of pulp space for retention of fragment is achieved by the insertion of a dentine bonding post. This case report describes a case of tooth reattachment after trauma in which the pulp space is utilized to bond a fiber-reinforced post for retention after periodontal tissue management.

scholarly journals Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

2018 ◽  
Vol 12 (1) ◽  
pp. 238-245 ◽  
Author(s):  
Rakesh. R. Rajan ◽  
Sapna Chandira Muddappa ◽  
Priya Rajendran ◽  
Ashok Sukumaran Nair
Keyword(s):  
Treatment Outcome ◽  
Case Report ◽  
Treatment Planning ◽  
Multidisciplinary Approach ◽  
Tooth Structure ◽  
Case Evaluation ◽  
Orthodontic Extrusion ◽  
And Function ◽  
Attention To Detail

Introduction: Fracture of tooth structure at or below the gingival margin compromises rehabilitation and hampers esthetics and function. Management: Management of such cases by a post-core and crown restoration, or periodontal surgery or orthodontic extrusion alone may not always suffice in attaining a good result. Case Report: A multi-disciplinary approach which includes all of the above mentioned procedures helps in long term success. Conclusion: Careful case evaluation, treatment planning and meticulous attention to detail are the keys to the best treatment outcome.

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