International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 1 ( January-February, 2019 ) > List of Articles


Revascularization of an Immature Permanent Central Incisor with Complicated Crown Root Fracture: A Case Report

Anu John, Amitha M Hegde, Preeth Shetty, Shreema Shetty

Keywords : Crown root fracture, Immature teeth, Revascularization

Citation Information : John A, Hegde AM, Shetty P, Shetty S. Revascularization of an Immature Permanent Central Incisor with Complicated Crown Root Fracture: A Case Report. Int J Clin Pediatr Dent 2019; 12 (1):59-63.

DOI: 10.5005/jp-journals-10005-1574

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2019; The Author(s).


The treatment of complicated crown root fracture in children possesses a great challenge to pedodontists. A 10-year-old boy presented with trauma to the permanent maxillary left central incisor. Upon clinical and radiographic examination, revealed mobility of coronal fragment, open apex, and vertical fracture involving enamel dentin and pulp. Instead of the standard root canal treatment protocol, revascularization was performed after stabilizing the coronal fragment. The detachment of the coronal fragment occurred following a fall for the second time after 1 month of placement of mineral trioxide aggregate (MTA) over the blood clot. The coronal seal was intact; hence, the coronal fragment was reattached and the crown was placed. At 12-month follow-up, clinical and radiographic evaluation showed that the tooth was asymptomatic and functional. With increasing scope of clinical facts, patient, and practitioner favorable reception, regenerative techniques may be used as a standard technique in treating complicated crown root fracture in young permanent teeth.

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