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

• Published in: Operative dentistry Vol. 41; no. 6; pp. e168 - e173
• Main Authors: Stojanac, I L, Bajkin, B V, Premovic, M T, Ramic, B D, Petrovic, L M
• Format: Journal Article
• Language: English
• Published: United States 01-11-2016
• Subjects: Adult; Composite Resins; Crowns; Dentistry; Humans; Incisor; Male; Root Canal Therapy; Tooth Crown; Tooth Fractures - therapy; Tooth Root; Young Adult
• DOI: 10.2341/15-080-T
• EISSN: 1559-2863
• ISSN: 0361-7734

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.