Reattachment of a Vertical Complicated Subgingival Crown Root Fracture in a 10-Year Old Child: A Case Report
Vishwas Chaugule, Chetan Bhat, Vishwas Patil, Sajjad H Mithiborwala
Biologic restoration, complicated subgingival, crown-root fracture, fragment reattachment
Citation Information :
Chaugule V, Bhat C, Patil V, H Mithiborwala S. Reattachment of a Vertical Complicated Subgingival Crown Root Fracture in a 10-Year Old Child: A Case Report. Int J Clin Pediatr Dent 2009; 2 (3):53-60.
Functional, esthetic and biologic restoration of a fractured incisor often presents a daunting clinical challenge. The outcome of conventional composites, prosthodontic restorations in a young patients result in an uncertain longevity of the same. Reattachment of the fractured fragment of a tooth helps in maintaining both morphology and esthetics in a growing child until the permanent long lasting solution is sought after the complete development of the dentition and the jaws. Since fractured fragment exhibited no caries, not even negligible loss of tooth structure and was adapting well to the remaining tooth structure when tried in, the reattachment of fractured fragment was considered as a viable treatment option. This treatment option for complicated subgingival crown-root fracture depicts the involvement of periodontal surgical exposure, endodontic management and ultimately the fragment reattachment.
Andreasen, JO.; Andreasen, FM. Crown-root fractures. In: Andreasen, JO.; Andreasen, FM., editors. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994. p. 257-277.
Grossmann Y, Araúz-Dutari J, Chogle SM, Blatz MB, Sadan A. A conservative approach for the management of a crown-root fracture. Quintessence Int 2006 Nov-Dec;37(10):753-759.
Brown GJ, Welburry RR. Root extrusion, a practical solution in complicated crown-root incisor fractures. Br Dent J 2000 Nov; 189(9):477-478.
Murchison DF, Burke FJ, Worthington RB. Incisal edge reattachment: indications for use and clinical technique. Br Dent J 1999 Jun 26;186(12): 614-619.
Carnevale G, Sterrantino SF, Di Febo G. Soft and hard tissue wound healing following tooth preparation to the alveolar crest. Int J Periodontics Restorative Dent 1983;3(6):36-53.
Melker DJ, Richardson CR. Root reshaping: An integral component of periodontal surgery. Int J Periodontics Restorative Dent 2001 Jun;21(3):296-304.
Welbury R. Traumatic injuries to the teeth. In: Richard, R., editor Pediatric dentistry. Oxford: Oxford Medical Publications;
Andreasen, JO.; Andreasen, FM. Extrusion and lateral luxation. In: Andreasen, JO.; Andreasen, FM., editors. Essentials of traumatic injuries to the teeth. 2nd ed. Copenhagen: Munksgaard;
Hamilton FA, Hill FJ, Hollway PJ. An investigation of dentoalveolar trauma and its treatment in an adolescent population. Part 1: The prevalence and incidence of injuries and the extent and adequacy of treatment received. Br Dent J 1997 Feb 8;182(3): 91-95.
Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1(5):235-239.
Petti S, Tarsitani G. Traumatic injuries to anterior teeth in Italian school children: Prevalence and risk factors. Endod Dent Traumatol 1996 Dec;12(6):294-297.
Andreasen JO, Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994. 240 p.
Brown GJ, Welbury RR. Root extrusion, a practical solution in complicated crown-root incisor fractures. Br Dent J 2000 Nov 11;189(9):477-478.
Liew P. Re-attachment of original tooth fragment to a fractured crown. Case report. Aust Dent J 1988 Feb;33(1):47-50.