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.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.2341/15-080-T | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Pulp health and calcific healing of a complicated crown-root fracture with additional root fracture in a maxillary incisor: A case report.
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.
Learning Curve in the Extraction of Impacted Lower Third Molars: A Prospective Cohort Study.
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 PDFMultidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up.
BMC 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.
Smile Reestablished-Predictable Management of Complicated Crown-root Fracture through Surgical Extrusion with and without 180° Rotation: A Case Report.
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.
Evaluating periodontal probing depth and furcation involvement on the endodontic treatment of maxillary fourth premolar complicated crown-root fractures in 122 teeth.
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).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!