Fragment reattachment after complicated crown‐root fractures of anterior teeth: A systematic review

Abstract

Crown-root fractures (CRF) involve enamel, dentin, and cementum and they account for 5% of all dental injuries in permanent teeth. 1,2 Depending on pulp involvement, these injuries may be classified as uncomplicated (without pulp exposure) or complicated (with pulp exposure). 1 The majority of dental traumatic injuries affect the maxillary anterior teeth causing aesthetic, functional, psychological, and

Conservative Treatment of Complicated Crown Fracture and Crown-Root Fracture of Young Permanent Incisor—A Case Report with 24-Month Follow-Up

“…Although vital pulp therapy is often used in fragment reattachment after complicated crown fractures [ 10 , 22 ], it is only rarely used in fragment reattachment after complicated crown-root fractures [ 13 ]. This case report describes the vital pulp treatment of an immature permanent tooth with subsequent adhesive reattachment of the crown-root fractured fragment after mucoperiosteal flap reflection.…”

“…This case report describes the vital pulp treatment of an immature permanent tooth with subsequent adhesive reattachment of the crown-root fractured fragment after mucoperiosteal flap reflection. Most adhesive reattachment cases after crown-root fracture consist of root canal treatment and post placement [ 13 ]. Only one of the published case reports, which also describes vital pulp therapy in the reattachment of a crown-root fractured fragment, is comparable to the clinical situation that we report here [ 14 ].…”

“…Despite this growing evidence, there are only case reports or case series for the treatment of complicated crown-root fractures, which were recently summarized in a systematic review [ 13 ]. Importantly, in all (except one) of these published cases, root canal treatment was performed [ 14 ], indicating that root canal treatment is the standard procedure in this type of tooth fracture.…”

Dental undergraduate students' ability in the diagnosis of root fractures: Comparative analysis of different imaging methods

“…4 In addition, the correct diagnosis is fundamental for an adequate treatment, which is based not only on clinical and radiographic exams, but also on the professional's experience. 5 A common type of dental traumatic injury is root fracture, which can lead to the development of tooth mobility 6,7 and eventually lead to early loss. 8 Rates of 1.2%-7.0% of frequency of root fractures in permanent dentition have been reported.…”

“…11 Oblique (ORF) and horizontal root (HRF) fractures are difficult to diagnose using radiographic exams, which leads to tooth extractions without indication and worse prognosis in the medium and long-term. 7,10 Periapical radiographs are commonly requested to assist clinicians for definition of the root fracture diagnosis. 12 However, the superposition of anatomical structures makes it challenging.…”