One case of complicated crown root fracture of upper anterior teeth managed by multidisciplinary joint approaches

Complicated crown root fracture is a serious combined fracture of the enamel, dentin, and cementum in dental trauma. The treatment method is complicated. During the procedure, the condition of pulp, periodontal, and tooth body should be thoroughly evaluated, and a multidisciplinary approach combined...

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Published inHua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology Vol. 42; no. 2; p. 249
Main Authors Zhang, Baize, Chen, Yujiang, Wang, Junhui, Liu, Jiajia, Wu, Li'an
Format Journal Article
LanguageEnglish
Published China 01.04.2024
Subjects
Child
Crowns
Dental Pulp Exposure - therapy
Humans
Incisor - injuries
Tooth Crown - injuries
Tooth Fractures - therapy
Tooth Root
deep margin elevation
complicated crown root fracture
post-crown restoration
all-ceramic crown
fragment reattachment
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Summary:Complicated crown root fracture is a serious combined fracture of the enamel, dentin, and cementum in dental trauma. The treatment method is complicated. During the procedure, the condition of pulp, periodontal, and tooth body should be thoroughly evaluated, and a multidisciplinary approach combined with sequential treatment is recommended. This case reported the different treatment and repair processes of one case of two affected teeth after complicated crown root fracture of upper anterior teeth, including regrafting of broken crown after flap surgery at the first visit, direct resin repair to remove broken fragments, and pulp treatment and post-crown repair at the second visit. After 18 months of follow-up, the preservation treatment of the affected teeth with complicated crown root fracture was achieved. Therefore, fragment reattachment and post-crown restoration are feasible treatment options for children with complicated crown root fracture.
ISSN:2618-0456