scholarly journals Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation

2014 ◽  
Vol 32 (2) ◽  
pp. 190 ◽  
Author(s):  
VinayaKumar Kulkarni ◽  
ChitraP Bhusari ◽  
DivyaS Sharma ◽  
Prashant Bhusari ◽  
Jeevanand Deshmukh ◽  
...  
Keyword(s):  
Multidisciplinary Management ◽  
Root Fracture ◽  
Crown Root ◽  
Biologic Width

scholarly journals Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Merve Mese ◽  
Merve Akcay ◽  
Bilal Yasa ◽  
Huseyin Akcay
Keyword(s):  
Composite Resin ◽  
Pediatric Dentistry ◽  
Multidisciplinary Management ◽  
Flap Surgery ◽  
Successful Management ◽  
Root Fracture ◽  
Crown Root ◽  
Maxillary Lateral Incisor ◽  
The Right ◽  
Luting Composite

The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disclosed that the apexification procedure had been started to be performed after his first trauma experience and he had neglected his appointment. The coronal fragment was gently extracted; endodontic treatment was performed; flap surgery was performed to make the fracture line visible. The coronal fragment was reattached to the root fragment with a dual-cure luting composite. A fiber post was stabilized and the access cavity of the tooth was restored with composite resin. At the end of the 24th month, the tooth was asymptomatic, functionally, esthetically acceptable and had no periapical pathology. It is important for the patients undergoing apexification treatment to keep their appointments because of the fracture risk. Restoration of the fractured tooth by preparing retention grooves and a bonding fiber-reinforced post are effective and necessary approaches for successful management.

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.

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 Multidisciplinary Approach to the Treatment of an Unusual Crown Fracture after Trauma: Alternative Technique Proposal

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Cesar dos Reis Perez
Keyword(s):  
Multidisciplinary Approach ◽  
Traumatic Injury ◽  
Dental Trauma ◽  
Multidisciplinary Management ◽  
Isolation Technique ◽  
Root Fracture ◽  
Crown Root ◽  
Alternative Approach ◽  
Unique Aspect ◽  
Pulp Exposure

This case report presents multidisciplinary management of a sub gingival crown-root fracture of a 15-year-old patient referred to the dental trauma clinic with an extensive tooth fracture of the permanent maxillary central incisors after a traumatic injury during a volleyball game. This work aimed to present an alternative approach for complicated dental fracture after trauma obtaining immediate resolution. A unique aspect of the case was that the patient was referred from the semiology clinic without pain and with signs of extensive cracking after 13 days of trauma. However, no endodontic involvement was observed either clinically or radio graphically. After examining a probe, the fracture trace dislocated with pulp exposure and sub-gingival extension. An alternative isolation technique was presented to enable immediate endodontic treatment and restoration of fractured teeth.

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.

scholarly journals Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Antonello Francesco Pavone ◽  
Marjan Ghassemian ◽  
Manuele Mancini ◽  
Roberta Condò ◽  
Loredana Cerroni ◽  
...  
Keyword(s):  
Case Reports ◽  
Common Occurrence ◽  
Root Fracture ◽  
Crown Root ◽  
The Past ◽  
Anterior Teeth

Trauma of anterior teeth is quite a common occurrence in both children and adults. Various degrees of trauma leading to fracture may affect teeth in different ways depending on the age of the patient and extent of fracture and other factors that will be discussed. Guidelines have been given as to how each of these situations should be treated. In the past, often more aggressive restorations were performed to restore fractured teeth. However improved and more efficient adhesion may affect the type of treatment we decide to carry out, leading to more conservative therapies through an increased preservation of tooth structures.

Use of a Resin-lonomer in Crown-Root Fracture Repair of a Canine Tooth of a Dog

1997 ◽  
Vol 14 (1) ◽  
pp. 11-14 ◽  
Author(s):  
D. H. DeForge
Keyword(s):  
Fracture Repair ◽  
Endodontic Treatment ◽  
Human Studies ◽  
Restorative Material ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
Root Fracture ◽  
Crown Root

A resin-ionomer material was used to repair a longitudinal sub-crestal crown-root fracture of a maxillary canine tooth of a young dog. Infinity™, the resin-ionomer used in this report, has been shown in human studies to be biocompatible with soft and osseous tissues, making it appropriate for use as a subgingival restorative material1,2,3,4,5,6. The tooth was treated endodontically to achieve apexification, followed by conventional endodontic treatment, crown-root fracture repair, and preparation for placement of an Inceram crown.

scholarly journals Sectional Fixed Orthodontic Extrusion Technique in Management of Teeth with Complicated Crown-Root Fractures: Report of Two Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
S. Nagarajan M. P. Sockalingam ◽  
Katherine Kong Loh Seu ◽  
Halimah Mohamed Noor ◽  
Ahmad Shuhud Irfani Zakaria
Keyword(s):  
Quality Of Life ◽  
Treatment Technique ◽  
Root Fracture ◽  
Crown Root ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Orthodontic Extrusion ◽  
Dental Injuries

Complicated crown-root fractures account for a small percentage of traumatic dental injuries seen in children; however, management of these injuries can be very challenging to clinicians. Factors such as complexity of the injury, patient’s age and dentition stage, patient’s cooperation, and parental demands may have some bearing on the type of treatment undertaken and its outcomes. In some children, these injuries may have significant impact on their quality of life. The purpose of this article is to describe two cases of complicated crown-root fracture which were successfully managed through orthodontic extrusion using a sectional fixed orthodontic technique. The basis for the treatment technique and its favourable outcomes were highlighted with its advantages and drawbacks.

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