A novel two-staged single-visit treatment of a maxillary central incisor with complicated crown-root fracture with additional horizontal mid-root fracture – A case report with a 5-year follow-up

A concomitant complicated crown-root fracture (CCRF) and horizontal root fracture (HRF) is rarely reported in literature. This report proposes a two-staged single-visit treatment to salvage maxillary central incisor with coexisting CCRF and HRF. A female patient with CCRF with additional HRF (AHRF) of maxillary left central incisor was successfully managed with a novel two-staged treatment strategy. Stage 1 included stabilization of AHRF followed by fragment reattachment in Stage 2 of the treatment. At 5 years of followup, clinical examinations revealed no mobility or discoloration of the reattached fragment with satisfactory periodontal condition. Conebeam computed tomography revealed accurate approximation of reattached fragment to the remaining tooth and the HRF showed type II (connective tissue) healing pattern. This case report concludes that two-staged treatment can be performed as an alternative treatment to invasive therapy like extraction.