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Management Of Complicated Crown-Root Fracture By Surgical 180-Degree Rotation: Case Report With One Year Follow-Up
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| Author:
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DIVYA SUBRAMANYAM, DEEPA GURUNATHAN, MEBIN GEORGE MATHEW
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| Abstract:
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Crown-root fracture of the maxillary anterior teeth is one of the most common dental traumatic injury. Management of crown-root fracture is always a challenging task for any clinician. There are multidisciplinary treatment approaches available for management of complicated crown-root fractures such as orthodontic extrusion, surgical extrusion, intentional 180-degree rotation, and gingivectomy. Surgical extrusion is less time consuming, effective and the subgingival fracture line can be easily exposed to provide proper isolation. Fragment reattachment remains a treatment of choice for coronal tooth structure rehabilitation, as it is aesthetically pleasing and preserves the natural tooth structure. There are no previous case reports in literature that have performed surgical extrusion with 180-degree rotation for rehabilitation of complex crown root fracture of anterior teeth in a paediatric patient. This case report highlights a case of a 14-year-old female patient, who presented with a complicated crown root fracture of the maxillary left lateral incisor. It was treated by a combination of surgical extrusion along with intentional 180-degree rotation. At the end of one-year follow up, there was no evidence of pain or secondary periapical pathology.
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| Keyword:
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Complicated Crown Root Fracture, Fragment Reattachment, Tooth Replantation
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.276
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| Download:
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Request For Article
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