Crown-root fractures are complex traumatic injuries that require multidisciplinary management and afford uncertain prognosis. The purpose of this clinical article was to report the case of crown-root fracture where a multidisciplinary approach was successfully executed. A 10-year-old male patient who suffered a complicated crown-root fracture on a permanent maxillary central incisor was treated using an intentional 180°-rotation replantation technique, followed by endodontic therapy and restoration with resin composite. Two years after the initial treatment, the case was stable and the tooth was restored with a resin core and a ceramic crown. This article describes how adequate multidisciplinary treatment planning, coordination, and execution are necessary for similar cases to be properly managed. It can be concluded that the intentional replantation with 180°-rotation allowed a more conservative approach, showing, in this case, a clinical success without resorption.
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Stomatologiia (Mosk)
December 2024
Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
The main principles of management of children with root fractures of permanent teeth in the coronal third are presented using two clinical cases as an example. In the treatment of root fractures in the coronal third, an important condition for success is timely flexible or semi-flexible splinting of the tooth for a sufficiently long period (up to 4 months). In the absence of splinting or significant mobility of the coronal fragment after removal of the splint the probability of pulp necrosis is very high, and the method of choice is treatment with calcium silicate cements with their introduction by orthograde or surgical access.
View Article and Find Full Text PDFBMC Oral Health
December 2024
Department of Pediatric Dentistry, Dental Research Institute, Pusan National University Dental Hospital, 20 Geumo-Ro, Mulgeum-Eup, Yangsan-Si, Gyeongsangnam-Do, 50612, Republic of Korea.
Background: Preservation of a healthy periodontium is critical for the long-term success of restored teeth. In cases of extensive caries, tooth fracture, inadequate crown length, and increased esthetic demands, the restorative margins need to be placed apical to the gingival margin. Violation of the biological width due to dental trauma frequently appears in clinical practice.
View Article and Find Full Text PDFBMC Oral Health
December 2024
Department of Pediatric Dentistry, State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University, Xi'an, Shaanxi, 710032, People's Republic of China.
Background: Pediatric anterior teeth complex crown-root fractures has high incidence and pose greater treatment challenges. Dynamic tooth development increases risks for orthodontic, periodontal, and restorative treatments.
Case Description: The authors present a case of a 12-year-old boy with a complex crown-root fracture in the right maxillary central incisor.
J Clin Med
November 2024
Department of Neurology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
: The purpose of this study was to examine how the COVID-19 pandemic influenced the patterns, distribution, and circumstances of dental trauma (DT) cases at a German cranio-maxillofacial trauma center. This retrospective analysis compared DT cases from the PreCovid (PC) period (February 2019-January 2020) with those from the IntraCovid (IC) period (February 2020-January 2021). It included an examination of baseline characteristics, types of DT, circumstances leading to DT, and the treatment approaches applied.
View Article and Find Full Text PDFInt J Clin Pediatr Dent
September 2024
Department of Dentistry, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
Aim And Background: The management of crown-root fractures poses significant uncertainty and involves meticulous evaluation of the tooth and supporting structures. The uncertain prognosis associated with crown-root fractures necessitates periodic evaluation.
Case Description: A 15-year-old female presenting with crown-root fracture of the permanent left maxillary incisors was treated by surgical extrusion with rotation for the central incisor, while the lateral incisor was coronally extruded by 2 mm.
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