Surgical restorative rehabilitation of an anterior tooth with coronoradicular fracture: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4992

Keywords:

Tooth Injuries; Dental Bonding; Therapeutic Approaches

Abstract

Introduction: Anterior teeth fractures can cause aesthetic and functional damage. The type, provision and extension of the fracture are determining for prognosis and treatment. Objective: Report the dental management in a patient diagnosed with coronoradicular fracture. Case report: Male patient, 13 years, attended to the Department of Pediatric Dentistry and Orthodontics of FO-UFRJ with trauma report on tooth 21 by falling from his own height at school about 3 months ago. Clinically, it was noted a mesial fracture line and, through radiographic examination, it was noted the fracture in the cervical third of the root, adjacent to the pulp wall. The affected tooth showed a positive response to the vitality test, negative on palpation/percussion pain and no periodontal alteration. The treatment plan consisted in the periodontal flap surgery without relief and subsequent fragment bonding. Conclusion: The post-trauma care should be immediate to enable effective treatment without sequel. In this report case, the clinical follow-up by an interdisciplinary team provided a conservative and aesthetic therapeutic decision through the fragment bonding technique.

References

Andreasen, J. O., Lauridsen, E., Gerds, T. A. & Ahrensburg, S. S. (2012). Dental trauma guide: a source of evidence based treatment guidelines for dental trauma. Dent Traumatol, 28(2), 142-147.

Arora, R., Shivakumar, B., Rao, H. M. & Vijay, R. (2013). Rehabilitation of complicated crown-root fracture by fragment reattachment and intraradicular splinting: case reports. Journal of International Oral Health, 5(5), 129–138.

Chosack, A. & Eidelman, E. D. O. (1964). Rehabilitation of a fractured incisor using the patient's natural crown. Case report. J Dent Child, 31(1), 19-21.

Choudhary, A., Garg, R., Bhalla, A. & Khatri, R. K. (2015). Tooth fragment reattachment: An esthetic, biological restoration. J Nat Sci Biol Med, 6(1), 205–7.

DiAngelis, A. J., Andreasen, J. O., Ebeleseder, K. A., Kenny, D. J., Trope, M., Sigurdsson, A., Andersson, L., Bourguignon, C., Flores, M. T., Hicks, M. L., Lenzi, A. R., Malmgren, B., Moule, A. J., Pohl, Y. & Tsukiboshi, M. (2012). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dental Traumatology, 28, 2–12.

Glendor, U. (2009). A etiology and risk factors related to traumatic dental injuries — A review of the literature. Dent Traumatol, 25, 19–31.

Humberto, J. S. M. & Hayden, J. M. (2014). Crown-root fracture in infants - a case report. Rev Assoc Paul Cir Dent, 68(3), 230-4.

Jagannath-Torvi, S. & Kala, M. 2014. Restore the natural - A review and case series report on reattachment. J Clin Exp Dent, 6(5), 595–598.

Kumari, N. B., Sujana, V., Sunil, C. H. & Reddy, P. S. (2012). Reattachment of complicated tooth fracture: An alternative approach. Contemp Clin Dent, 3(2), 242–4.

Mader, C. Restoration of a fractured anterior tooth. (1971). J Am Dent Assoc, 82, 558-63.

Ninawe, N., Doifode, D., Khandelwal, V. & Nayak, P. A. (2013). Fragment reattachment of fractured anterior teeth in a young patient with a 1.5-year follow-up. BMJ Case Reports, 1-3.

Robertson, A., Andreasen, F. M., Bergenholtz, G., Andreasen, J. O. & Munksgaard, C. (1998). Pulp reactions to restoration of experimentally induced crown fractures. J Dent, 26(5-6):409-16.

Sargod, S. S. & Bhat, S. S. (2010). A 9 year follow-up of a fractured tooth fragment reattachment. Contemp Clin Dent, 1(4), 243–245.

Silva. R. G., Sousa, C. R., Martins, L. R. M., Barreto, B. C. F., Oliveira, M. A. V. C., Soares, C. J. & Fernandes-Neto, A. J. (2012). Colagem de Fragmento Dentário: Revisão Sistemática da Literatura Associada a Relato de Caso Clínico. ROBRAC, 21(58), 564-9.

VamsiKrishna, R., Madhusudhana, K., Swaroopkumarreddy, A., Lavanya, A., Suneelkumar, C. & Kiranmayi, G. (2015). Shear bond strength evaluation of adhesive and tooth preparation combinations used in reattachment of fractured teeth: an ex-vivo study. J Indian Soc Pedod Prev Dent, 33(1), 40–3.

Wiegand, A., Rodig, T. & Attin, T. (2005). Treatment of crown fractured incisors: reattachment instead of restoration? Schweiz Monatsschr Zahnmed, 115(12), 1172-81.

Published

16/06/2020

How to Cite

CÂMARA, J. V. F.; VARGAS, D. O. A.; FERREIRA FILHO, J. C. C.; BARBOSA, I. F.; SANTOS, A. E. C.; FRIED, H.; MAIA, L. C.; PEREIRA, G. D. da S. Surgical restorative rehabilitation of an anterior tooth with coronoradicular fracture: case report. Research, Society and Development, [S. l.], v. 9, n. 7, p. e853974992, 2020. DOI: 10.33448/rsd-v9i7.4992. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4992. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences