Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor

This case report describes the multidisciplinary management of subgingival horizontal crown-root fracture of an immature permanent maxillary central incisor in a 10-year-old boy. After removal of the fractured fragment, pulpotomy was performed within 48 h from the injury to promote apexogenesis. The...

Descripción completa

Detalles Bibliográficos
Autores principales: Zahedpasha, Samir, Safarcherati, Hengameh, Rahmati-Kamel, Manouchehr, Mehrani-Sabet, Javad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469907/
https://www.ncbi.nlm.nih.gov/pubmed/23087746
_version_ 1782246154050732032
author Zahedpasha, Samir
Safarcherati, Hengameh
Rahmati-Kamel, Manouchehr
Mehrani-Sabet, Javad
author_facet Zahedpasha, Samir
Safarcherati, Hengameh
Rahmati-Kamel, Manouchehr
Mehrani-Sabet, Javad
author_sort Zahedpasha, Samir
collection PubMed
description This case report describes the multidisciplinary management of subgingival horizontal crown-root fracture of an immature permanent maxillary central incisor in a 10-year-old boy. After removal of the fractured fragment, pulpotomy was performed within 48 h from the injury to promote apexogenesis. The tooth was orthodontically extruded until the fracture line was located above the alveolar bone level. Frenectomy, supracrestal fiberotomy, and crown lengthening were performed after adequate stabilization of the extruded tooth for 5 months. Finally, the tooth was restored with composite resin by using the acid etch technique. This report highlights that a multidisciplinary treatment approach with strict cooperation among specialists to manage a complicated crown-root fracture can save and restore a traumatized immature permanent tooth.
format Online
Article
Text
id pubmed-3469907
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-34699072012-10-19 Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor Zahedpasha, Samir Safarcherati, Hengameh Rahmati-Kamel, Manouchehr Mehrani-Sabet, Javad Dent Res J (Isfahan) Case Report This case report describes the multidisciplinary management of subgingival horizontal crown-root fracture of an immature permanent maxillary central incisor in a 10-year-old boy. After removal of the fractured fragment, pulpotomy was performed within 48 h from the injury to promote apexogenesis. The tooth was orthodontically extruded until the fracture line was located above the alveolar bone level. Frenectomy, supracrestal fiberotomy, and crown lengthening were performed after adequate stabilization of the extruded tooth for 5 months. Finally, the tooth was restored with composite resin by using the acid etch technique. This report highlights that a multidisciplinary treatment approach with strict cooperation among specialists to manage a complicated crown-root fracture can save and restore a traumatized immature permanent tooth. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3469907/ /pubmed/23087746 Text en Copyright: © Dental Research Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Zahedpasha, Samir
Safarcherati, Hengameh
Rahmati-Kamel, Manouchehr
Mehrani-Sabet, Javad
Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
title Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
title_full Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
title_fullStr Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
title_full_unstemmed Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
title_short Multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
title_sort multidisciplinary management of subgingival crown–root fracture of an immature permanent maxillary central incisor
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469907/
https://www.ncbi.nlm.nih.gov/pubmed/23087746
work_keys_str_mv AT zahedpashasamir multidisciplinarymanagementofsubgingivalcrownrootfractureofanimmaturepermanentmaxillarycentralincisor
AT safarcheratihengameh multidisciplinarymanagementofsubgingivalcrownrootfractureofanimmaturepermanentmaxillarycentralincisor
AT rahmatikamelmanouchehr multidisciplinarymanagementofsubgingivalcrownrootfractureofanimmaturepermanentmaxillarycentralincisor
AT mehranisabetjavad multidisciplinarymanagementofsubgingivalcrownrootfractureofanimmaturepermanentmaxillarycentralincisor