Conservative Treatment of Complicated Crown Fracture and Crown-Root Fracture of Young Permanent Incisor-A Case Report with 24-Month Follow-Up

Overview

Journal Children (Basel)

Specialty Health Services

Date 2021 Sep 28

PMID 34572157

Citations 7

Authors

David Marincak

Vojtech Dolezel

Michal Pribyl

Iva Voborna

Ivo Marek

Jiri Sedy

Radovan Zizka

Affiliations

Soon will be listed here.

Abstract

The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.

Citing Articles

Single- versus multi-visit approach for fragment reattachment in complicated crown-root fractures: a cohort study.

Liu H, Zhang X, Zhang X, Shi Y, Chen J, Liu X BMC Oral Health. 2024; 24(1):1129.

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Simple re-attachment of a complete crown fracture to avoid complex replacement: A case report.

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