Management of a Complex Crown-Root Fracture in a Single Appointment Through Root Canal Therapy and Rebonding

被引:0
作者
Abdelaziz, Mohammed H. [1 ,2 ]
Alharbi, Meshal [1 ]
Shahada, Maher O. [3 ]
Abdoh, Roqia [4 ]
Algabri, Radhwan Saleh [5 ,6 ]
Alqutaibi, Ahmed Yaseen [1 ,7 ]
机构
[1] Taibah Univ, Coll Dent, Substitut Dent Sci Dept, Madinah, Saudi Arabia
[2] Al Azhar Univ, Fac Dent Med, Fixed Prosthodont Dept, Cairo, Egypt
[3] King Fahad Hosp, Specialized Dent Ctr, Resident Endodont Dept, Minist Hlth, Madinah, Saudi Arabia
[4] King Fahad Hosp, Specialized Dent Ctr, Program Director Post Grad Prosthodont, Minist Hlth, Madinah, Saudi Arabia
[5] IBB Univ, Fac Dent, Prosthodont Dept, Ibb, Yemen
[6] Natl Univ, Fac Dent, Dept Prosthodont, Ibb, Yemen
[7] Ibb Univ, Fac Dent, Dept Prosthodont, Ibb, Yemen
来源
CLINICAL CASE REPORTS | 2025年 / 13卷 / 03期
关键词
biological width; crown reattachment; crown-root fracture; fiber post; ENDODONTICALLY TREATED TEETH; TRAUMATIC DENTAL INJURIES; MULTIDISCIPLINARY APPROACH; ANTERIOR TEETH; POST; SCHOOLCHILDREN; MICROLEAKAGE; EPIDEMIOLOGY; RESTORATION; INCISORS;
D O I
10.1002/ccr3.70332
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 10-year-old male presented with a mobile and fractured maxillary right central incisor following dental trauma. Clinical and radiographic examinations revealed a chisel-type crown-root fracture with supragingival labial and subgingival palatal extensions. A direct crown reattachment was planned, emphasizing biological width preservation. After removing the coronal fragment, endodontic treatment was performed using a rotary file system and was obturated with a bioceramic sealer. A fiber post was selected and integrated into the fractured fragment, which was reattached using resin cement. Additionally, a gingivectomy was performed to enhance margin visibility and restore biological width. The adjacent left central incisor was treated for an uncomplicated crown fracture using follow-up evaluations over 12 months revealed stable fragment reattachment, good periodontal health, and restored aesthetics and function. A custom mouthguard was provided to prevent future trauma. This case highlights the efficacy of a multidisciplinary approach combining endodontic, restorative, and periodontal techniques for managing crown-root fractures, achieving favorable long-term outcomes in pediatric patients.
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页数:8
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