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.

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 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

A biological conservative approach to complex traumatic dento-alveolar lesions

2004 ◽  
Vol 28 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Enrico Spinas
Keyword(s):  
Plastic Surgery ◽  
Clinical Experience ◽  
Multidisciplinary Treatment ◽  
Conservative Approach ◽  
Dental Injury ◽  
Natural Position ◽  
Crown Root ◽  
Root Fractures ◽  
Periodontal Plastic Surgery

Of all the kinds of traumatic dental injury, luxation injuries associated with crown-root fractures deserve special attention due to the particular need for complex multidisciplinary treatment. Clinical experience has demonstrated the need for repositioning of luxated teeth and treatment of crown-root fractures by orthodontic or surgical extrusion and completed with periodontal plastic surgery (gingivoplasty). In many cases the outcome is good conservation and excellent esthetic results. This approach cannot however, always be recommended, for example because of the age of the patient. For this reason, a different protocol is proposed that involves, in addition to orthodontic repositioning of the luxated teeth, (as is required to return teeth to the physiological position), the extrusion, restoration and subsequent re-intrusion to the natural position (without the need for further surgery) of those teeth involved with associated crown-root fractures.Two cases illustrate the use of this proposed technique.

Conservative management of long-standing traumatised maxillary central incisor with incomplete apex and severe internal resorption using triple antibiotic paste, mineral trioxide aggregate and fiber-reinforced composite

2021 ◽  
Vol 14 (10) ◽  
pp. e244818
Author(s):  
Vivek Mehta ◽  
Anupma Raheja ◽  
Rajeev Kumar Singh
Keyword(s):  
Root Formation ◽  
Mineral Trioxide Aggregate ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Successful Management ◽  
Maxillary Central Incisor ◽  
Reinforced Composite ◽  
Triple Antibiotic Paste ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Traumatic dental injuries result in damage to many dental and periradicular structures. They can be conservatively managed depending on the extent of the injury. Maxillary central incisors are most commonly involved in traumatic dental injuries mainly because of their anterior and protrusive positioning. The treatment of immature permanent teeth with severe internal resorption poses a lot of challenges to the clinician. The objective of the present article is to report successful management of traumatised maxillary central incisor with incomplete root formation and severe internal resorption in a 10-year-old boy using triple antibiotic paste, mineral trioxide aggregate and fibre-reinforced composite.

scholarly journals Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Central Incisor ◽  
Root Fracture ◽  
Crown Root ◽  
Pulp Exposure ◽  
Traumatic Dental Injuries ◽  
The Right ◽  
Dental Injuries

Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.

scholarly journals Management of crown root fractures: A novel technique with multidisciplinary approach

2013 ◽  
Vol 2 (1) ◽  
pp. 72
Author(s):  
Kantheti Sirisha ◽  
YalavarthyRavi Shankar ◽  
NagaSasidhar Yalavarthy ◽  
Koneru Suneetha
Keyword(s):  
Multidisciplinary Approach ◽  
Crown Root ◽  
Novel Technique ◽  
Root Fractures

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 Complex Implant-Prosthetic Rehabilitation Following Sports Trauma with 14 Years of Follow-Up: Case Report

2021 ◽  
Vol 9 (1) ◽  
pp. 6
Author(s):  
Alberto Murri dello Diago ◽  
Roberto Apponi ◽  
Vittorio Colombini ◽  
Lorenzo Mordini ◽  
Francesca Ideo
Keyword(s):  
Case Report ◽  
Tooth Loss ◽  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Complex Case ◽  
Mini Implants ◽  
Traumatic Dental Injuries ◽  
Dental Injuries ◽  
Alternative Solutions

Tooth loss after traumatic dental injuries (TDI) often requires rehabilitation with a multidisciplinary treatment plan. In growing patients, the therapeutic approach may be different than in adults; the scientific literature offers alternative solutions even if they involve long, complex and uncomfortable treatments. Among the possible therapeutic options, implant-prosthetic treatment through the use of mini-implants is presented in this complex case report with a 14-year follow-up.

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