scholarly journals Management of Sub-gingival Fracture of Tooth by Multi-disciplinary Approach

2019 ◽  
Vol 3 (3) ◽  
pp. 165
Author(s):  
Atiquzzaman Khan ◽  
Shirin Sultana Chowdhury ◽  
Rubaba Ahmed ◽  
Mirza Md Arifur Rahman ◽  
SMA Quader
Keyword(s):  
Root Canal ◽  
Multidisciplinary Treatment ◽  
Dental Trauma ◽  
Young Male ◽  
Health Sciences ◽  
Maxillary Incisor ◽  
Elastic Band ◽  
Crown Root ◽  
Root Fractures ◽  
Wire Hook

Dental trauma is commonly occur in children and may involve adult person also. In permanent dentition crown fracture is common and it may be uncomplicated or complicated. Complicated crown-root fractures require a multidisciplinary treatment modality for longterm success. Here we presented multidisciplinary treatment of a traumatized permanent maxillary incisor of a young male patient where oblique tooth fracture involved coronal pulp. As more than 50% of the crown and palatal coronal part of the root had been fractured and the tooth could not be properly isolated during endodontic procedure which is essential for success of root canal treatment. An intra-canal wire hook was cemented in the root canal and attached to another wire fixed to the adjacent teeth. With the help of elastic band attached with hook the fractured tooth fragment was extruded to create clinical crown. Finally, gingival re-contouring was performed to establish optimum biological width. At last, porcelain fused to metal crown was placed and the patient was comfortable both esthetically and functionally.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 165-168

Multidisciplinary Treatment of Complicated Crown-Root Fractures: A Case Study

2016 ◽  
Vol 41 (6) ◽  
pp. e168-e173 ◽  
Author(s):  
IL Stojanac ◽  
BV Bajkin ◽  
MT Premovic ◽  
BD Ramic ◽  
LM Petrovic
Keyword(s):  
Multidisciplinary Approach ◽  
Multidisciplinary Treatment ◽  
Functional Rehabilitation ◽  
Crown Root ◽  
Reinforced Composite ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Surgical Conditions ◽  
Dental Injuries

SUMMARY Traumatic dental injuries usually occur among children and adolescents, with maxillary central incisors as the most often affected teeth. Complicated crown-root fractures are particularly challenging for esthetic and functional rehabilitation and often require a multidisciplinary approach. A 21-year-old male patient came to the Dental Clinic due to fractured maxillary incisors caused by trauma during a sporting activity. Clinical examination revealed horizontal fractures of teeth 7, 8, and 9, initiating in the labial cervical third and extending subgingivally on the palate, with exposed pulp tissues. On provisional repositioning and splinting the fragments, root canal treatment was performed. Definitive repositioning was accomplished by raising a full-thickness gingival flap, using fiber-reinforced composite posts, by an endodontist and an oral surgeon. Reattachment was accomplished under surgical conditions to ensure precise positioning of fragments by exposing the palatal aspect of the fracture lines and providing a dry operating field. Definitive composite resin veneers were performed after seven days.

A biological conservative approach to complex traumatic dento-alveolar lesions

2004 ◽  
Vol 28 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Enrico Spinas
Keyword(s):  
Plastic Surgery ◽  
Clinical Experience ◽  
Multidisciplinary Treatment ◽  
Conservative Approach ◽  
Dental Injury ◽  
Natural Position ◽  
Crown Root ◽  
Root Fractures ◽  
Periodontal Plastic Surgery

Of all the kinds of traumatic dental injury, luxation injuries associated with crown-root fractures deserve special attention due to the particular need for complex multidisciplinary treatment. Clinical experience has demonstrated the need for repositioning of luxated teeth and treatment of crown-root fractures by orthodontic or surgical extrusion and completed with periodontal plastic surgery (gingivoplasty). In many cases the outcome is good conservation and excellent esthetic results. This approach cannot however, always be recommended, for example because of the age of the patient. For this reason, a different protocol is proposed that involves, in addition to orthodontic repositioning of the luxated teeth, (as is required to return teeth to the physiological position), the extrusion, restoration and subsequent re-intrusion to the natural position (without the need for further surgery) of those teeth involved with associated crown-root fractures.Two cases illustrate the use of this proposed technique.

scholarly journals Dental lesions and restorative treatment in molars

2017 ◽  
Vol 23 (3) ◽  
pp. 137-141
Author(s):  
Irina-Maria Gheorghiu ◽  
Paula Perlea ◽  
Loredana Mitran ◽  
A. A. Iliescu ◽  
Sanziana Scarlatescu ◽  
...  
Keyword(s):  
Therapeutic Approach ◽  
Dental Trauma ◽  
Restorative Treatment ◽  
Dental Tissues ◽  
Crown Root ◽  
Dental Pathology ◽  
Molar Teeth ◽  
Root Fractures ◽  
Hard Dental Tissues ◽  
Dental Lesions

AbstractThis article review specific clinical issues of the molar teeth, as well as the therapeutic approach of their pathology. The dental pathology we face in the group of molars is related to: dental caries, dental trauma (crown and crown-root fractures), dental wear phenomena. The therapeutic approach of the molar teeth is represented by: restoration of the loss of hard dental tissues; endodontic treatments of pulpal and periapical complications; surgical treatment. The restorative treatments in molars are: direct restorations, with or without supplementary anchorage for obturations; inlay, onlay; prosthetic crown.

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.

Analysis of the crown fractures and crown-root fractures due to dental trauma assisted by the Integrated Clinic from 1992 to 2002

2005 ◽  
Vol 21 (3) ◽  
pp. 121-126 ◽  
Author(s):  
Jose Carlos Monteiro Castro ◽  
Wilson Roberto Poi ◽  
Thais Mara Manfrin ◽  
Livia Guimaraes Zina
Keyword(s):  
Dental Trauma ◽  
Crown Root ◽  
Root Fractures

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 Apexification with Calcium Hydroxide: 27 Months Follow Up of a Case

2013 ◽  
Vol 25 (1) ◽  
pp. 42-45
Author(s):  
AFMA Chowdhury ◽  
A Alam ◽  
UK Sarkar ◽  
AA Mahmud ◽  
U Habiba ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Young Patients ◽  
Dental Trauma ◽  
Immature Teeth ◽  
Root Sheath ◽  
Medicine Today ◽  
And Function

Dental trauma is common in young patients with immature teeth. When necrosis of pulp follows in such a tooth, apexification of the root is the most recognized and accepted treatment of choice. Calcium hydroxide paste is the most popular material used to induce the apical hard tissue barrier which may be composed of different tissues. Hertwig’s epithelial root sheath and (or) its remnants, the cell rests of Malassez may contribute to the apical closure. In the presented case, careful multidisciplinary treatment approach helped to regain esthetic and function. After 27 months the tooth showed every sign of success. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.16071 Medicine Today 2013 Vol.25(1): 42-45

Sign in / Sign up

Export Citation Format

Share Document