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Multidisciplinary approach in the management of a complicated crown root fracture
Pubblication date: 06/2013
Authors: J. H. Shin*, J. E. Kim**, R.J. Kim***
Institution: Korea University Guro Hospital
* Department of Endodontics
** Department of Prosthodontics
***Department of Conservative Dentistry, Seoul National University Dental Hospital, Seoul, South Korea
Publication: European Journal of Paediatic Dentistry
Title: Multidisciplinary approach in the management of a complicated crown root fracture
Abstract: Background This article describes the management of a complicated crown root fracture.
Case report A young patient presented with a crown root fracture of the maxillary left central incisor with an oblique subgingival fracture line. A multidisciplinary treatment approach including endodontic treatment, orthodontic extrusion, surgical extraction and intra-alveolar repositioning was used to gain sufficient crown length of the fractured maxillary incisor. The coronally repositioned maxillary left central incisor was stabilised by sutures and a resin wire splint. A resin core was built up followed by fabrication of an all-ceramic crown. Clinical and radiographic follow-up of the maxillary left central incisor after 24 months showed no signs of bone resorption or pathology and good aesthetics and functions were maintained.