Traumatic fracture—one-visit endodontic treatment and dentinal bonding reattachment of coronal fragment: report of case

Ludlow, John B.; LaTurno, Sandra A.L.

doi:10.14219/jada.archive.1985.0357

Cited by 19 publications

(13 citation statements)

References 10 publications

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“…This case report outlines the management of one such case using previously accepted techniques [2][3][4][5][6][7][8][9]13 and introducing a means of relocating and positioning tooth tissue fragments during reattachment .…”

Section: Practicementioning

confidence: 99%

A single visit, multidisciplinary approach to the management of traumatic tooth crown fracture

Wadhwani¹

2000

Br Dent J

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Section: Practicementioning

confidence: 99%

A single visit, multidisciplinary approach to the management of traumatic tooth crown fracture

Wadhwani¹

2000

Br Dent J

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“…In the subgingivally fractured teeth gingivectomy with or without electrosurgery and sometimes with ostectomy, surgical or orthodontic extrusion of the apical fragment and elevation of a tissue flap are the methods of choice to expose the fracture site and facilitate further treatment (8,12,14,15,25,(27)(28)(29)32). Gingivectomy is a simple method and allows the restorations to be completed soon after injury (8).…”

Section: Discussionmentioning

confidence: 99%

“…The alternative treatment modalities of crown-root fractures are fragment reattachment, composite resin restoration and full crown coverage (8). Up to date a number of case reports with the follow-up periods ranging from 1 month to 6 years have been documented about the reattachment of subgingivally fractured teeth (16,(25)(26)(27)(28)(29). These reports considered the fragment reattachment as an alternative to composite build-up and full crown coverage in children.…”

Section: Discussionmentioning

confidence: 99%

Multiple complicated crown–root fracture of a permanent incisor

Turgut¹,

Gönül²,

Altay³

2004

Dental Traumatology

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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.

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“…The treatment of crown-root fractures in children is compromised by a fracture below the gingival margin and/or bone. Various reports have been published in which cases of crown-root fracture have been treated by tooth fragment reattachment with or without surgical exposure or extrusion of the root depending on the site of fracture (10,(12)(13)(14)(15). The occurrence of repeated traumatic dental injuries to teeth involving conservative management of both crown-root fracture and complicated crown fracture on the same tooth is rare.…”

mentioning

confidence: 99%

Multidisciplinary approach to the rehabilitation of a tooth with two trauma episodes: systematic review and report of a case

Sharma

Garg

Sheoran

et al. 2011

Dental Traumatology

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Studies have shown that some children and adolescents are affected only once with dental trauma, while others seem to be accident-prone and suffer from multiple dental trauma episodes. Less is known about treatment consequences related to repeated traumatic dental injuries to the same tooth and treatment guidelines are not well established. Complicated crown fractures and crown-root fractures pose difficulties for dentists to establish adequate treatment plans because these fractures require multidisciplinary knowledge and approach for a correct case planning and prognosis. The objective of this paper was to present and discuss a case of a child who sustained a second trauma to the same tooth following treatment of an earlier sustained crown fracture. The research-based background for establishment of the treatment plan is discussed. Reattachment of tooth fragment is a minimal invasive and esthetic method. Essential advantage of the reattached teeth is the fact that all the alternative methods as direct adhesive resin reconstruction, veneers and crowns can be performed in case of failure or a refracture. As a consequence of initial trauma, the tooth suffered a complicated crown fracture which was resolved by endodontic therapy and fragment reattachment. During follow-up, the child suffered a second trauma resulting in dislodgement and fracture of the reattached fragment and a crown-root fracture extending subgingivally with involvement of the biologic width. A conservative restorative option is described. After 1 year of follow-up, the clinical and radiographic findings demonstrated that the adopted clinical protocol was successful and yielded healthy periodontal tissues with no signs of periradicular pathosis. The occurrence of repeated traumatic dental injuries to teeth involving conservative management of both crown-root fracture and complicated crown fracture on the same tooth is extremely rare and a challenge for dental professionals to treat.

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Traumatic fracture—one-visit endodontic treatment and dentinal bonding reattachment of coronal fragment: report of case

Cited by 19 publications

References 10 publications

A single visit, multidisciplinary approach to the management of traumatic tooth crown fracture

A single visit, multidisciplinary approach to the management of traumatic tooth crown fracture

Multiple complicated crown–root fracture of a permanent incisor

Multidisciplinary approach to the rehabilitation of a tooth with two trauma episodes: systematic review and report of a case

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