Open AccessReconstruction and Intentional Replantation of a Maxillary Central Incisor with A Complete Vertical Root Fracture: a Rare Case Report with Three Years Follow up
Author(s) -
Deepti Dua,
Ankur Dua
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/13853.6476
Subject(s) - medicine , replantation , dentistry , conservative management , maxillary central incisor , asymptomatic , conservative treatment , orthodontics , fracture (geology) , tooth avulsion , incisor , surgery , geology , geotechnical engineering
Vertical root fractures in teeth present with challenges not only with diagnosis but also with management. The prognosis in such teeth is generally questionable with extraction of the tooth being the most common treatment option. However, conservative treatment options such as reconstruction of the fractured fragments with adhesive resin followed by intentional replantation have been recently suggested. There are only a few case reports that describe management of complete vertical root fracture by reconstruction of fragments. The present case report describes successful management of an unusual complete vertical root fracture of a maxillary right central incisor in a 23-year-old male by reconstructing the fragments with a dual cure resin followed by intentional replantation. At the three year follow up, the tooth was asymptomatic, radiographically sound with probing depth and mobility within normal physiological limits.