The multidisciplinary conservative management of a vital crown root fracture

This case study reports on the multidisciplinary management of a maxillary canine which sustained an unusual labial crown root fracture, resulting in a large veneer-like fragment.The canine was extruded orthodontically and the fragment was re-attached using adhesive materials.This multidisciplinary solution prevented impingement on the biological width, loss of vitality and loss of tooth structure, leading to an optimal soft and hard tissue aesthetic result. Successful clinical and radiographic results after three years were observed, despite canine protected occlusion.

Multidisciplinary management can result in an improved prognosis of the tooth and, in time, may be the most cost-effective solution for the patient. When discussing treatment options with the patient, utilization of all dental specialties should be considered and offered to the patient.