Open AccessAutogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation
Author(s) -
Vinaya Kumar Kulkarni,
Chitra P Bhusari,
Divya S Sharma,
Prashant Bhusari,
Amit Bansal,
Jeevanand Deshmukh
Publication year - 2014
Publication title -
journal of the indian society of pedodontics and preventive dentistry/journal of indian society of pedodontics and preventive dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.378
H-Index - 33
eISSN - 1998-3905
pISSN - 0970-4388
DOI - 10.4103/0970-4388.131007
Subject(s) - crown (dentistry) , medicine , dentistry , tooth fracture , orthodontics , fracture (geology) , materials science , composite material
Fractures of multiple permanent anterior teeth can be a traumatic experience for children, with functional, esthetic and psychological aspects. The treatment of complicated crown-root fractures (CRFs) is more challenging when the biologic width is violated. This paper presents a case of 12-year boy with complicated CRF of teeth #12 and #21, and horizontal crown fracture of tooth #11. It was managed by endodontic treatment, mucoperiosteal surgery with osteotomy to visualize the fracture line for fragment reattachment, followed by fiber-post placement and restoration with polycarbonate crowns. Clinical and radiographic evaluation after 6 months was satisfactory with adequate functional and esthetic results.