Clinical management of a complicated crown-root fracture: a case report

• Main Author: Fidel,Sandra Rivera
• Publication Date: 2011
• Other Authors: Fidel-Junior,Rivail Antonio Sergio, Sassone,Luciana Moura, Murad,Cristiana Francescutti, Fidel,Rivail Antonio Sergio
• Format: Article
• Language: eng
• Source: Brazilian Dental Journal
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402011000300014
• topic: crown-root fracture; traumatic dental injuries; permanent tooth; orthodontic extrusion

This report describes the clinical procedures involved in the treatment of a complicated crown-root fracture in the maxillary left central incisor with a wide open apex of a 10-year-old male patient, due to fall from his own height. Post-trauma treatment comprised cervical pulpotomy and adhesive tooth fragment reattachment. After 1 year, clinical and radiograph examinations showed pulp necrosis and an associated periapical lesion. Endodontic therapy with calcium hydroxide-base intracanal dressing, root canal filling and orthodontic extrusion were performed. Extrusion was completed within approximately 16 weeks and the tooth was restored with a post-core system and a prosthetic crown. After a 3 years of follow-up, there was no evidence of apical periodontitis and the tooth was satisfactory both esthetically and functionally.