Crown and crown–root fractures: an evaluation of the treatment plans for management proposed by 154 specialists in restorative dentistry

Castro, Mara Antônio Monteiro de; Poi, Wilson Roberto; Castro, José Carlos Monteiro de; Panzarini, Sônia Regina; Sonoda, Celso Koogi; Trevisan, Carolina Lunardelli; Luvizuto, Eloá Rodrigues

doi:10.1111/j.1600-9657.2010.00871.x

Cited by 25 publications

(25 citation statements)

References 27 publications

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“…11,14 The findings of the present study revealed that, in general, the level of knowledge of the dentists interviewed was low, notwithstanding the existence of clinical protocols in the literature that indicate the most adequate treatment approaches for each type of injury. 8,15 There is a low incidence of dentoalveolar traumas in clinical practice and, as a result, there is little experience on this subject and a low level of knowledge, thus hindering consolidation of this knowledge.…”

Section: Discussionmentioning

confidence: 63%

Dentists' level of knowledge of the treatment plans for periodontal ligament injuries after dentoalveolar trauma

et al. 2011

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This study investigated the level of knowledge held by dentists about the possible treatment plan procedures for periodontal ligament injuries after dentoalveolar trauma. A 5-item self-applied questionnaire was prepared with questions referring to the professional profile of the interviewees and to the treatment plan they would propose for periodontal ligament injuries secondary to dentoalveolar trauma. The questionnaires were filled out by 693 dentists attending the 23 rd Annual Meeting of the Brazilian Society for Dental Research, and the data obtained were subjected to descriptive analysis. Either the chi-square test or Fisher's exact test was applied to assess associations among variables, at a 5% level of significance. The results revealed that dentists experienced difficulty in establishing a treatment plan for subluxation, and for extrusive, lateral and intrusive luxations. In general, holding a dental specialty degree had no influence on the knowledge about treatment plan procedures for the most severe injuries. It could be concluded that the dentists participating in this study, whether specialists or not, did not have sufficient knowledge to treat most of the periodontal ligament injuries resulting from dentoalveolar trauma adequately.

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Section: Discussionmentioning

confidence: 63%

Dentists' level of knowledge of the treatment plans for periodontal ligament injuries after dentoalveolar trauma

et al. 2011

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“…The dentist should be able to indicate effective therapeutic measures that provide the best possible prognosis. However, factors such as the severity of trauma, stage of root formation, time elapsed since the trauma, and adverse issues regarding the application of the techniques, will influence the treatment success (4).…”

Section: Discussionmentioning

confidence: 99%

“…The dentist can have difficulty making a correct diagnosis and establishing an effective treatment plan for injuries that do not occur daily (4). In many situations, the total extraction of a tooth is not acceptable to the family and the preservation of the tooth structure gives an emotionally and socially positive response.…”

Section: Discussionmentioning

confidence: 99%

“…Frequently, this kind of dental trauma spreads to the subgingival or intraosseous level, which complicates the establishment of the extent and direction of fracture lines, even with the assistance of radiographic examination (3). The difficulty of tooth maintenance and periodontal health require an interdisciplinary approach to enable the appropriate treatment of this type of TDI (4).…”

Section: Introductionmentioning

confidence: 99%

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Crown-Root Fractures in Primary Teeth: A Case Series Study of 28 Cases

et al. 2016

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Crown-root fractures in primary teeth are rare, with a wide variation of patterns that make diagnosis and treatment difficult. The aim of this study was to present a case series of crown-root fractures in primary teeth of children who attended a reference center. The study followed 28 cases of crown-root fractures in 26 children, representing 4% of the total number of attendees over 11 years of reference service at the Universidade Federal de Pelotas, Pelotas, Brazil. In most cases, the maxillary central incisors (85.7%) were involved. In the crown, 57.1% of the cases had a simple line of fracture, and 42.9% had multiple lines. Simple lines predominated in the root (89.3%). In cases with simple fracture lines in the crown, 37.6% underwent a total extraction, 31.2% required a partial extraction and 31.2% underwent pulpectomy. In most teeth with multiple lines of fractures in the crown, total extraction was performed (91.7%) All cases were followed-up until the eruption of the permanent successor tooth, and all patients had favorable outcomes.

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“…Technical knowledge and clinical experience are essential to establish an accurate diagnosis and provide appropriate treatment plan [5]. Most of these types of fracture require a multidisciplinary approach and the treatment of choice will depend on a number of factors such as: length of fracture [2,3,[6][7][8], biological width invasion [2,5,9,10], presence of pulp exposure, stage of root development [2,[5][6][7][8]11,12], soft tissue injuries [3,7,12,13], presence of concomitant periodontal trauma [3,7,8], presence / absence of fractured fragment and its adaptation, occlusion, esthetics, time, and available resources [2,[8][9][10][11][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary approach for crown-root fracture treatment after trauma: case report

Andriolo

Hamanaka

Luvizuto

et al. 2013

BDS

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A elaboração de um diagnóstico preciso e de um plano de tratamento adequado pode constituir uma tarefa bastante complexa, especialmente nos casos de traumatismos dentoalveolares. O relato de caso teve por finalidade demonstrar a importância da abordagem multidisciplinar para o tratamento de fratura corono-radicular pós-traumatismo. Paciente de 18 anos de idade, gênero masculino, sofreu uma queda de bicicleta resultando em traumatismos dentários. O 16 sofreu fratura corono-radicular complicada e o 35 fratura corono-radicular não-complicada. Foi realizado tratamento endodôntico, extrusão dentária controlada, cirurgia periodontal para recuperação do espaço biológico, coroa de porcelana e restauração tipo onlay. O resultado estético e funcional foi alcançado. O paciente foi acompanhado por 2 anos onde foi observado um manchamento na interface dente/onlay do 16 e fratura da onlay do 35. Foi realizado um reparo na interface do 16 e confeccionada uma coroa de porcelana para o 35. Foi possível concluir que a multidisciplinaridade do plano de tratamento é de extrema importância para uma adequada resolução dos casos de traumatismos dentoalveolares.Abordagem multidisciplinar para tratamento de fratura corono-radicular pós-traumatismo: relato de caso ABSTRACTThe development of an accurate diagnosis and appropriate treatment plan can be a complex task, especially in cases of dentoalveolar trauma. The authors present a case report of crown-root fracture caused by trauma and highlight the importance of a multidisciplinary approach for the treatment. An eighteen year-old boy had a bicycle accident resulting in dental trauma. The upper right first molar showed a complicated crownroot fracture and the lower left second pre-molar showed an uncomplicated crown-root fracture. Endodontic treatment, controlled tooth extrusion, periodontal surgery for recovery of biological width, and porcelain crown and onlay restorations were performed. Esthetic and functional results were achieved. At the two-year follow-up it was observed that the tooth/onlay interface of the upper right first molar was stained and the onlay of the left lower second pre-molar was fractured. Therefore, the interface stained was repaired and a porcelain crown was made for the lower second premolar. The clinical case presented herein leads to the conclusion that a multidisciplinary treatment plan is extremely important for a proper resolution in cases of dentoalveolar trauma.

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Crown and crown–root fractures: an evaluation of the treatment plans for management proposed by 154 specialists in restorative dentistry

Cited by 25 publications

References 27 publications

Dentists' level of knowledge of the treatment plans for periodontal ligament injuries after dentoalveolar trauma

Dentists' level of knowledge of the treatment plans for periodontal ligament injuries after dentoalveolar trauma

Crown-Root Fractures in Primary Teeth: A Case Series Study of 28 Cases

Multidisciplinary approach for crown-root fracture treatment after trauma: case report

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