Citation Information :
Rana A, Ravi M, Durga K, Galhotra V, Evelyn N, Rathod P. Smile Reestablished—Predictable Management of Complicated Crown-root Fracture through Surgical Extrusion with and without 180° Rotation: A Case Report. Int J Clin Pediatr Dent 2024; 17 (9):1063-1067.
Aim and background: The management of crown-root fractures poses significant uncertainty and involves meticulous evaluation of the tooth and supporting structures. The uncertain prognosis associated with crown-root fractures necessitates periodic evaluation.
Case description: A 15-year-old female presenting with crown-root fracture of the permanent left maxillary incisors was treated by surgical extrusion with rotation for the central incisor, while the lateral incisor was coronally extruded by 2 mm. Root canal treatment was performed after the extrusion procedure, which was followed by full coverage restoration. At the 12-month recall, the teeth showed satisfactory gingival and periodontal health, with well-maintained esthetics.
Conclusion: Although relatively invasive, surgical extrusion can be a more conservative treatment option for the management of permanent teeth with crown-root fractures.
Clinical significance: Marginal bone loss and gingival recession, which are usual complications of intentional replantation, were not significant findings at the 12-month follow-up.
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