scholarly journals Esthetic Restoration of Complicated Crown-Root Fractures Utilizing Orthodontic Extrusion

2016 ◽  
Vol 43 (1) ◽  
pp. 60-69
Author(s):  
Minji Kim ◽  
Jinyoung Kim ◽  
Suhyun Kim ◽  
Sumin Lim
Keyword(s):  
Crown Root ◽  
Root Fractures ◽  
Orthodontic Extrusion

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.

scholarly journals Reattachment of fractured maxillary incisors using fiber-reinforced post: Two case reports

2012 ◽  
Vol 06 (02) ◽  
pp. 227-233 ◽  
Author(s):  
Gul Tosun ◽  
Esma Yildiz ◽  
Mesut Elbay ◽  
Yagmur Sener
Keyword(s):  
Case Reports ◽  
Young Patients ◽  
Fiber Reinforced ◽  
Crown Root ◽  
Polyethylene Fiber ◽  
Long Term Follow Up ◽  
Root Fractures ◽  
Maxillary Incisors ◽  
Orthodontic Extrusion

ABSTRACTObjective: The reattachment of the crown fragment to a fractured tooth is a conservative treatment that should be considered for young patients with crown-root fractures to the maxillary incisors if the subgingival fracture can be exposed to provide isolation. Gingivectomy, the surgical or orthodontic extrusion of the apical fragment is necessary to expose the subgingival fracture. This report demonstrates the treatment of two cases with the combination of gingivectomy or resective osseous surgery, reattachment of coronal fracture and fiber-reinforced polymer posts and shows three years long term follow-up. Subgingivally extended crown-root fractures of maxillary incisors were restored with a combination of chemically cured resin material, light cured resin material and polyethylene fiber.Conclusion: Within the limitations of this case report, it was demonstrated that reattachment of tooth fragments can successfully benefit periodontal health, aesthetic needs and normal functioning after three years. (Eur J Dent 2012;6:227-233)

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.

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 Orthodontic management of traumatized teeth: a literature review

2021 ◽  
Vol 8 (6) ◽  
pp. 3138
Author(s):  
Sara Ahmed Hifny ◽  
Mohammed Abdulrazzag Hawsawi ◽  
Abdulaziz Mohammed Baraat ◽  
Wesam Faiz Bakhadlaq ◽  
Hafiz Mohammed Hakami ◽  
...  
Keyword(s):  
Literature Review ◽  
Orthodontic Treatment ◽  
Web Of Science ◽  
Present Evidence ◽  
Crown Root ◽  
Related Information ◽  
Traumatic Lesions ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Traumatic dental injuries can significantly impact the appearance and the functions of the affected teeth and can induce significant damages to the surrounding structures within the oral cavity including both the soft and hard ones. This present literature review aimed to discuss the appropriate orthodontic management of dental traumatic events and to present evidence from previous studies in the literature. The search took place in the relevant databases l, such as PubMed, Web of Science, Scopus and Google Scholar to find the relevant articles that have previously discussed the topic to retrieve all the potentially related information that will help to formulate strong evidence. The literature review was focused on the orthodontic management considerations for patients that had dental traumas including crown and crown-root fractures, in addition to intrusion and extrusion luxation injuries. Overall, orthodontists should be able to deal with all the possible traumatic lesions as early as possible to avoid the development of any complications which might affect the prognosis of the affected teeth and the surrounding structures. Moreover, the evidence suggested that aforementioned lesions which was a period of at least three months should be recommended after applying the orthodontic treatment to early screen against any potential complications and maintain stabilization.

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

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.

scholarly journals Management of Crown-root Fractures: A Report of Two Cases

2020 ◽  
Vol 5 (1) ◽  
pp. 45-50
Author(s):  
Ganesh Arathi ◽  
Arun Sarath Baabu ◽  
Mathan Rajan Rajendran ◽  
Manigandan Kuzhanchinathan
Keyword(s):  
Crown Root ◽  
Root Fractures
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