Clinical management of a complicated crown-root fracture: a case report

• Published in: Brazilian dental journal Vol. 22; no. 3; p. 258
• Main Authors: Fidel, Sandra Rivera, Fidel-Junior, Rivail Antonio Sergio, Sassone, Luciana Moura, Murad, Cristiana Francescutti, Fidel, Rivail Antonio Sergio
• Format: Journal Article
• Language: English
• Published: Brazil 2011
• Subjects: Apexification - methods; Calcium Hydroxide - therapeutic use; Child; Dental Bonding; Dental Pulp Necrosis - therapy; Dental Restoration, Permanent - methods; Follow-Up Studies; Humans; Incisor - injuries; Male; Maxilla; Orthodontic Extrusion; Patient Care Planning; Periapical Diseases - therapy; Post and Core Technique; Pulpotomy - methods; Root Canal Obturation; Tooth Apex - pathology; Tooth Crown - injuries; Tooth Fractures - therapy; Tooth Root - injuries
• ISSN: 1806-4760

This report describes the clinical procedures involved in the treatment of a complicated crown-root fracture in the maxillary left central incisor with a wide open apex of a 10-year-old male patient, due to fall from his own height. Post-trauma treatment comprised cervical pulpotomy and adhesive tooth fragment reattachment. After 1 year, clinical and radiograph examinations showed pulp necrosis and an associated periapical lesion. Endodontic therapy with calcium hydroxide-base intracanal dressing, root canal filling and orthodontic extrusion were performed. Extrusion was completed within approximately 16 weeks and the tooth was restored with a post-core system and a prosthetic crown. After a 3 years of follow-up, there was no evidence of apical periodontitis and the tooth was satisfactory both esthetically and functionally.