Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification
The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2015/521013 |
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| author | Merve Mese Merve Akcay Bilal Yasa Huseyin Akcay |
| author_facet | Merve Mese Merve Akcay Bilal Yasa Huseyin Akcay |
| author_sort | Merve Mese |
| collection | DOAJ |
| description | The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disclosed that the apexification procedure had been started to be performed after his first trauma experience and he had neglected his appointment. The coronal fragment was gently extracted; endodontic treatment was performed; flap surgery was performed to make the fracture line visible. The coronal fragment was reattached to the root fragment with a dual-cure luting composite. A fiber post was stabilized and the access cavity of the tooth was restored with composite resin. At the end of the 24th month, the tooth was asymptomatic, functionally, esthetically acceptable and had no periapical pathology. It is important for the patients undergoing apexification treatment to keep their appointments because of the fracture risk. Restoration of the fractured tooth by preparing retention grooves and a bonding fiber-reinforced post are effective and necessary approaches for successful management. |
| format | Article |
| id | doaj-art-e46707973d1d45a189945bccd1a8c55b |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-e46707973d1d45a189945bccd1a8c55b2025-02-03T01:00:35ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/521013521013Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing ApexificationMerve Mese0Merve Akcay1Bilal Yasa2Huseyin Akcay3Department of Pedodontics, Faculty of Dentistry, University of Izmir Katip Celebi, 35640 Izmir, TurkeyDepartment of Pedodontics, Faculty of Dentistry, University of Izmir Katip Celebi, 35640 Izmir, TurkeyDepartment of Restorative Dentistry, Faculty of Dentistry, University of Izmir Katip Celebi, 35640 Izmir, TurkeyDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Izmir Katip Celebi, 35640 Izmir, TurkeyThe purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disclosed that the apexification procedure had been started to be performed after his first trauma experience and he had neglected his appointment. The coronal fragment was gently extracted; endodontic treatment was performed; flap surgery was performed to make the fracture line visible. The coronal fragment was reattached to the root fragment with a dual-cure luting composite. A fiber post was stabilized and the access cavity of the tooth was restored with composite resin. At the end of the 24th month, the tooth was asymptomatic, functionally, esthetically acceptable and had no periapical pathology. It is important for the patients undergoing apexification treatment to keep their appointments because of the fracture risk. Restoration of the fractured tooth by preparing retention grooves and a bonding fiber-reinforced post are effective and necessary approaches for successful management.http://dx.doi.org/10.1155/2015/521013 |
| spellingShingle | Merve Mese Merve Akcay Bilal Yasa Huseyin Akcay Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification Case Reports in Dentistry |
| title | Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification |
| title_full | Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification |
| title_fullStr | Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification |
| title_full_unstemmed | Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification |
| title_short | Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification |
| title_sort | multidisciplinary management of complicated crown root fracture of an anterior tooth undergoing apexification |
| url | http://dx.doi.org/10.1155/2015/521013 |
| work_keys_str_mv | AT mervemese multidisciplinarymanagementofcomplicatedcrownrootfractureofananteriortoothundergoingapexification AT merveakcay multidisciplinarymanagementofcomplicatedcrownrootfractureofananteriortoothundergoingapexification AT bilalyasa multidisciplinarymanagementofcomplicatedcrownrootfractureofananteriortoothundergoingapexification AT huseyinakcay multidisciplinarymanagementofcomplicatedcrownrootfractureofananteriortoothundergoingapexification |