Multidisciplinary treatment of complicated coronary root fracture: case report
DOI:
https://doi.org/10.33448/rsd-v11i10.31829Keywords:
Tooth injuries; Tooth fractures; Endodontics.Abstract
Treatment of trauma to anterior teeth should aim at preserving the affected teeth so as to restore function and esthetic appearance. The management of coronary root fracture is complex and requires a multidisciplinary approach in which various specialties must coordinate to achieve the desired result. This report describes the treatment of a deep crown–root fracture compromising the pulp and extended subgingivally on the buccal aspect. A 57-year-old man presented with pain and mobility in his left maxillary lateral incisor which experienced fall trauma. After using the fractured fragment as a provisional crown, the patient received conventional root canal treatment and a challenger orthodontic extrusion followed by rehabilitation with a postcore- supported prosthetic restoration. A 4-year follow up showed the absence of clinical symptoms and mobility and re-establishment of the periodontal space with satisfactory esthetic results.
References
Andreasen J. O., Andreasen F. M. Crown-root fractures I. N., Andreasen J. O., Andreasen F. M. & Andersson L. (2007) Textbook and Color Atlas of Traumatic Injuries to the Teeth. (4th ed.) Oxford: Blackwell Munksgaard, Copenhagen, 314-66.
Artieda-Estanga A., Castelo-Baz P., Bello-Castro A., Ramos-Barbosa I., Martin-Biedma B. & Blanco-Carrion J. (2018) Management of a crown-root fracture: a novel technique with interdisciplinary approach. J Clin Exp Dent, 10(6), 620-23.
Atabek D., Alacam A., Aydintug I. & Konakoglu G. (2014). A retrospective study of traumatic dental injuries. Dent Traumatol, 30(2), 154-61. https://doi.org/10.1111/edt.12057
Bacelar, L. M., Cerqueira, J. D. M., Albuquerque, M. T. P. D., & Carvalho, E. D. S. (2020). Tratamento alternativo para dentes traumatizados com reabsorção radicular inflamatória: 4 anos de acompanhamento. Revista de Divulgação Científica Sena Aires, 9(4), 854-859.
Bourguignon C., Cohenca N., Lauridsen E., Flores M. T., O’Connell A.C. & Day P. F. (2020). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol, 36(4), 314-30.
Carvalho, I. F., da Silva Ribeiro, M., Alves, G. B. B., & Cerqueira, J. D. M. (2022). Tratamento Endodôntico Em Dentes Com Reabsorção Radicular Apical Externa: Relato De Caso. Diálogos & Ciência, 2(2), 55-67.
Das B. & Muthu M. S. (2013) Surgical extrusion as a treatment option for crown-root fracture in permanent anterior teeth: a systematic review. Dent Traumatol, 29(6), 423-31.
de Castro M. A., Poi W. R., de Castro J. C., Panzarini S. R., Sonoda C. K. & Trevisan C. L (2010). Crown and crown-root fractures: an evoluation oh the treatment plans for management proposed by 154 specialists in restorative dentistry. Dent Traumatol, 26(3), 236-42.
dos Santos Carvalho, É., Trindade, R. A., Silva, B. M. M., Bacelar, L. M., Cangussu, M. C. T., & Martins, J. D. (2020). Prevalência e complicações das lesões dentárias traumáticas. Revista de Ciências Médicas e Biológicas, 19(3), 394-399.
Elkhadem, A., Mickan, S., & Richards, D. (2014). Adverse events of surgical extrusion in treatment for crown–root and cervical root fractures: a systematic review of case series/reports. Dental Traumatology, 30(1), 1-14.
Emerich-Poplatek K., Sawicki L., Bodal M. & Adamowicz-Klepalska B. (2005). Forced eruption after crown/root fracture with a simple and aesthetic method using the fractured crown. Dent Traumatol, 21(3), 165-9.
Enshaei Z. & Ghasemi M. (2018). Multidisciplinary management of complicated crown-root fracture: a case report. J Dent (Teerã), 15(3), 193-196.
Faria L. P., Almeida M. M., Amaral M. F., Pellizzer E. P., Okamoto R. & Mendonça M. R. (2015). Orthodontic Extrusion as Treatment Option for Crown-Root Fracture: Literatura Review with Systematic Criteria. J Contemp Dent Pract, 16(9), 758-62.
Farmakis E. T. (2018). Orthodontic extrusion of an incisor with a complicated crown root fracture, utilizing a custom-made intra-canal wire loop and endodontic treatment: a case report with 7-years follow-up. Eur Arch Paediatr Dent, 19(5), 379-85.
Fidel S. R, Fidel-Junior R. A, Sassone L. M, Murad C. F., Fidel R. A. (2011). Clinical Management of a Complicated Crown-Root Fracture: A Case Report. Braz Dent J, 22(3), 258-62.
Hecova H., Tzigkounakis V., Merglova V. & Netolicky J. (2010). A retrospective study of 889 injured permanent teeth. Dent Traumatol, 26(6), 466-75.
Klandelwal P., Srinivasan S., Arul B. & Natanasabapathy V. (2021). Fragment reattachment after complicated crown-root fractures of anterior teeth: a systematic review. Dent Traumatol, 37(1), 37-52.
Levine R. A. (1997). Forced eruption in the esthetic zone. Compend Contin Educ Dent, 18(8), 795-803.
Martos J., Silveira L. F., Baldisserra R. A. & Cruz L. E. (2014). Orthodontic extrusion and biologic width realignment of subgengivally fractured premolar. Rev Odontol Bras Central, 23(67), 212-16.
Mokhtari S., Hajian S.& Sanati I. (2019). Complicated crown-root fracture management using the 180-degree rotation method. Int J Clin Pediatr Dent, 12(3), 247-50.
Moura L.F., Lima M.D., Moura M.S., Carvalho P.V., Cravinhos J.C. & Carvalho C.M. (2012).Treatment of a crown-root fracture with intentional replantation – case report with 16-years follow-up. Int Endod J, 45(10), 955-60.
Pereira, A.S., Shitsuka, D.M., Parreira, F.J., & Shitsuka, R. (2018). "Metodologia da pesquisa científica". UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf
Prado M, Gomes B. P, Teles E. L, Araújo M. C. P, Gusman H. C. (2012). Crown-root fracture: a multidisciplinary approach. Rev Odontol UNESP, 41(5), 360-64.
Santos, E. L. D., Oliveira, K. F. C. N. H., Neto, L. O. B., Barreto, J. A. R., Carvalho, E. L., Costa, R. N. C., & Cerqueira, J. D. M. (2022). Implicações Endodônticas Em Dentes Traumatizados. Diálogos & Ciência, 2(2), 106-121.
Scholtes E., Suttorp C.M., Loomans B.A., Elsas P. V. & Schols J. G. (2018). Combined orthodontic surgical, and restorative approach to treat a complicated crown-root fracture in a maxillary central incisor. Am J Orthod Dentofacial Orthop, 154(4), 570-82.
Sharma S & Mittal N. (2017). Multidisciplinary approach for esthetic management of crown-root fracture: orthodontic extrusion and prosthetic rehabilitation. J Interdiscip Dentistry, 7(1), 38-40.
Singh T. K., Passi D., Aggarwal S., Mohan S., Sharma A. & Gupta U. (2019). Esthetic management of complicated crown fracture of three permanent maxillary teeth by grout technique – a case report. J Family Med Prim Care, 8(7), 2538-41.
Soliman S., Lang L. M., Hahn B., Reich S., Schlagenhauf U. & Krastl G. (2020). Long-term outcome oh adhesive fragment reattachment in crown-root fractured teeth. Dent Traumatol, 36(4), 417-26.
Teixeira, B. C. S., Cerqueira, J. D. M., Sardinha, S. D. C. S., & dos Santos Carvalho, É. (2019). Abordagem terapêutica de fratura radicular com 30 meses de acompanhamento. Relato de caso clínico. Revista Odontológica do Brasil Central, 28(85).
Teles, G. L., Ribeiro, E. P., Cerqueira, J. D. M., Alves, A. C., & Carvalho, E. D. S. (2021). Population Knowledge and Attitude Toward Emergency Management of Avulsed Permanent Teeth. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 21.
Vignesh R., Sharmin D., Rekha C. V., Annamalai S. & Baghkomeh P. N. (2019). Management of complicated crown-root fracture by extra-oral fragment reattachment and intentional reimplantation eith 2 years review. Contemp Clin Dent, 10(2), 397-401.
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Copyright (c) 2022 Erica dos Santos Carvalho; Ellen Pereira Ribeiro; Larissa Ramos de Almeida; Ana Carolina Santana da Cunha; Emanuel Braga Rêgo; Joana Dourado Martins Cerqueira
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