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Multidisciplinary Treatment of Complicated Crown-Root Fractures: A Case Study
Operative Dentistry
|November 8, 2016
Summary
Restoring complex crown-root fractures in young adults requires a team approach. This case shows successful reattachment of fractured incisors using surgical repositioning and composite restorations.
Area of Science:
- Dentistry
- Oral Surgery
- Endodontics
Background:
- Traumatic dental injuries are common in children and adolescents, frequently affecting maxillary incisors.
- Complicated crown-root fractures pose significant esthetic and functional challenges, often necessitating a multidisciplinary strategy.
Observation:
- A 21-year-old male presented with horizontally fractured maxillary incisors (teeth 7, 8, 9) due to sports trauma.
- Fractures extended subgingivally with exposed pulp, requiring provisional repositioning and splinting.
Findings:
- Root canal treatment was performed on the fractured teeth.
- Definitive fragment reattachment was achieved via a surgical approach with a gingival flap, fiber-reinforced posts, and precise positioning.
- Composite resin veneers were applied for final restoration.
Implications:
- Surgical repositioning and reattachment can successfully restore complex crown-root fractures.
- A multidisciplinary approach involving endodontics and oral surgery is crucial for optimal outcomes.
- This technique offers a viable option for esthetic and functional rehabilitation in traumatic dental injuries.
