This paper describes the rehabilitation of two traumatised teeth in two patients namely; A maxillary left central incisor with a relatively rare combination of multiple fractures- uncomplicated crown fracture, complicated crown-root fracture along with an oblique fracture in middle third of the root and A traumatised mandibular central incisor with a horizontal fracture in cervical third of the root and complete separation of the fragments. In both cases, initially the fractured crown fragments were extracted which was followed by pulpectomy and placement of fiber posts luted with resin cement. The fractured fragments were then reattached to the respective teeth using resin cement. In the first case, the fractured incisal edge of the fragment was built up with a hybrid composite. Teeth were splinted with fibre splint (Ribbond) in both the cases. The patient was recalled regularly for follow ups for six months in first case. The patient presented with normal clinical and radiographic findings at each visit. In the second case, follow ups were carried out for 3 weeks and being continued and both the cases are still under observation by regular recalls. How to cite this article: Ruchi Arora, B Shivakumar, H Murali Rao, R Vijay. Rehabilitation of Complicated Crown-Root Fracture by Fragment Reattachment and Intraradicular Splinting: Case Reports. J Int Oral Health 2013; 5(5):129-38.
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World J Clin Cases
January 2025
Stomatological Hospital and College, Anhui Medical University, Hefei 230032, Anhui Province, China.
Background: Complicated crown-root fracture (CRF) involves severe injury to the crown, root, and pulp, and may be accompanied by multiple root fractures. The loss of a tooth has lifelong consequences for children and teenagers, but the maintenance of pulp health and the calcific healing of multiple root fractures are rarely reported in the literature.
Case Summary: This case reports healing of a permanent tooth with complicated crown-root and additional root fractures, in which pulp health was maintained.
Eur J Dent Educ
January 2025
Institut d'Investigació Biomèdica de Bellvitge, L'Hospitalet de Llobregat, Spain.
Introduction: Third molar removal is one of the most common surgical procedures in dentistry. Therefore, it is important to evaluate the learning curve of dentists undergoing surgical training. Thus, the aims of this study were to assess the performance of oral surgery residents in third molar extractions based on operative time and the occurrence of incidents/complications, and to determine which variables are associated with surgical difficulty.
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.
Int 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.
Am J Vet Res
December 2024
College of Veterinary Medicine, Jeonbuk National University, Iksan, Republic of Korea.
Objective: This study aimed to evaluate the prognosis of root canal treatment (RCT) in dogs with complicated crown-root fractures (CCRFs) of the maxillary fourth premolar (PM4), focusing on the impact of periodontal probing depth (PPD) and furcation involvement on treatment outcomes.
Methods: The study analyzed 122 PM4 teeth affected by CCRF in dogs. The primary outcomes were the success rates of RCT, measured against PPD, and the degree of furcation involvement (stages F0, F1, and F2).
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