Multiple complicated crown–root fracture of a permanent incisor

Abstract

The treatment of a transverse complicated and a vertical uncomplicated crown-root fractures with a horizontal root fracture of a maxillary right central incisor is presented. Coronal fragments were extracted atraumatically and gingivectomy was performed with electrosurgery to expose the subgingival fragment. The root canal was treated with calcium hydroxide to perform the healing at the fracture site. After the root fracture healing, a post was cemented into the canal and the coronal fragment was attached with a composite resin. Examination 18 months after treatment revealed good aesthetics and normal function.

Reattachment of an Autogenous Tooth Fragment in Complicated Crown Fracture

“…10,11 In young patients, the risk and benefits of each treatment option should be carefully evaluated in making a treatment decision, with consideration of the patient's age, root development stage, eruption potential and the patient's guardian/parent's preference. 7 The technique described in this case report is simple, quick and restores the tooth's function and esthetics. This dental reattachment technique has been widely accepted with the development of acid etching and dentin adhesives.…”

“…In such case, it is mandatory to complete the restoration with resin composite. 6 Using original fragment to restore crown fracture presents some advantages over composite restorations: 7,8 1. The technique is generally faster, economical and less complicated 2.…”

Management of a Complicated Crown Fracture in a Tertiary Care Hospital

“…8 In such cases, orthodontic or surgical exposure of the fracture is n e cessary to facilitate further treatment. Surgical exposure of the fracture margin can be achieved by gingivectomy with o r without osteotomy.…”

Multidisciplinary Management of Subgingivally Fractured Maxillary Incisor: A Clinical Case Report

“…Crown-root fractures account for 5% of all dental injuries affecting the permanent teeth. These injuries involve enamel, dentin and cementum, with or without pulpal involvement [2].…”