Multidisciplinary Treatment of Complicated Crown-Root Fractures: A Case Study.

Abstract:

:Traumatic dental injuries usually occur among children and adolescents, with maxillary central incisors as the most often affected teeth. Complicated crown-root fractures are particularly challenging for esthetic and functional rehabilitation and often require a multidisciplinary approach. A 21-year-old male patient came to the Dental Clinic due to fractured maxillary incisors caused by trauma during a sporting activity. Clinical examination revealed horizontal fractures of teeth 7, 8, and 9, initiating in the labial cervical third and extending subgingivally on the palate, with exposed pulp tissues. On provisional repositioning and splinting the fragments, root canal treatment was performed. Definitive repositioning was accomplished by raising a full-thickness gingival flap, using fiber-reinforced composite posts, by an endodontist and an oral surgeon. Reattachment was accomplished under surgical conditions to ensure precise positioning of fragments by exposing the palatal aspect of the fracture lines and providing a dry operating field. Definitive composite resin veneers were performed after seven days.

journal_name

Oper Dent

journal_title

Operative dentistry

authors

Stojanac IL,Bajkin BV,Premovic MT,Ramic BD,Petrovic LM

doi

10.2341/15-080-T

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

e168-e173

issue

6

eissn

0361-7734

issn

1559-2863

journal_volume

41

pub_type

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