One case of complicated crown root fracture of upper anterior teeth managed by multidisciplinary joint approaches

Zhang Baize, Chen Yujiang, Wang Junhui, Liu Jiajia, Wu Li’an

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West China Journal of Stomatology ›› 2024, Vol. 42 ›› Issue (2) : 249-255. DOI: 10.7518/hxkq.2024.2023342

One case of complicated crown root fracture of upper anterior teeth managed by multidisciplinary joint approaches

  • Zhang Baize(), Chen Yujiang, Wang Junhui, Liu Jiajia, Wu Li’an()
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Abstract

Complicated crown root fracture is a serious combined fracture of the enamel, dentin, and cementum in dental trauma. The treatment method is complicated. During the procedure, the condition of pulp, periodontal, and tooth body should be thoroughly evaluated, and a multidisciplinary approach combined with sequential treatment is recommended. This case reported the different treatment and repair processes of one case of two affected teeth after complicated crown root fracture of upper anterior teeth, including regrafting of broken crown after flap surgery at the first visit, direct resin repair to remove broken fragments, and pulp treatment and post-crown repair at the second visit. After 18 months of follow-up, the preservation treatment of the affected teeth with complicated crown root fracture was achieved. Therefore, fragment reattachment and post-crown restoration are feasible treatment options for children with complicated crown root fracture.

Key words

complicated crown root fracture / fragment reattachment / deep margin elevation / post-crown restoration / all-ceramic crown

CLC number

R788

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Zhang Baize, Chen Yujiang, Wang Junhui, Liu Jiajia, Wu Li’an. One case of complicated crown root fracture of upper anterior teeth managed by multidisciplinary joint approaches. West China Journal of Stomatology. 2024, 42(2): 249-255 https://doi.org/10.7518/hxkq.2024.2023342

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Funding

The National Natural Science Foundation Youth Program of China(82100954)

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