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Minimal intervention treatment of crown‐root fracture in a mature permanent tooth by MTA pulpotomy and Fragment Reattachment: A Case Report
Author(s) -
Fatima Shazra,
Alam Sharique,
Kumar Ashok,
Andrabi Syed Mukhtar un Nisar,
Rehman Aaliya
Publication year - 2021
Publication title -
australian endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.703
H-Index - 34
eISSN - 1747-4477
pISSN - 1329-1947
DOI - 10.1111/aej.12477
Subject(s) - pulpotomy , dentistry , crown (dentistry) , tooth fracture , medicine , pulp (tooth) , dental trauma , pulp capping , maxillary central incisor , orthodontics
Abstract Treatment of crown–root fracture can be complicated, time‐consuming and expensive. This paper presents a treatment approach that minimises intra‐operatory intervention and preserves the biologic tissue. A 15‐year‐old boy reported for treatment of an oblique crown fracture in the left permanent maxillary central incisor (#21, Fédération Dentaire Internationale) with mature root apices. The treatment presented an endodontic, periodontal and restorative challenge as the crown fracture exposed the pulp and extended subgingivally. The patient also had accompanying generalised enamel hypoplasia due to dental fluorosis (grade 3 Deans Fluorosis index), making the aesthetic rehabilitation difficult. The case was managed by preserving the vital pulp by MTA pulpotomy, followed by the adhesive bonding of autogenous crown fragment. A three‐year follow‐up revealed healthy vital pulp tissue and retained bonded fragment with acceptable aesthetics and periodontal health.