scholarly journals Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period

2012 ◽  
Vol 6 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Jaime Díaz M ◽  
Bárbara Hope L ◽  
Alejandra Jans M
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 ◽  
...  

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.


2016 ◽  
Vol 6 (1) ◽  
pp. 52-56

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.


2012 ◽  
Vol 54 (4) ◽  
pp. 359-362
Author(s):  
Tamotsu Tsurumachi ◽  
Sakurako Matsumoto ◽  
Yoshimi Kobayashi ◽  
Kinuyo Ohara ◽  
Yusuke Suzuki ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 725
Author(s):  
David Marinčák ◽  
Vojtěch Doležel ◽  
Michal Přibyl ◽  
Iva Voborná ◽  
Ivo Marek ◽  
...  

The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.


2018 ◽  
Vol 154 (4) ◽  
pp. 570-582 ◽  
Author(s):  
Eva Scholtes ◽  
Christiaan M. Suttorp ◽  
Bas A. Loomans ◽  
Pieter Van Elsas ◽  
Jan G. Schols

Author(s):  
Lucisano MP ◽  
Corrêa Leite RGL ◽  
Nelson-Filho P ◽  
Minto AMP ◽  
Ferraz JAB ◽  
...  

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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