Clinical management of a complicated crown-root fracture: a case report

This report describes the clinical procedures involved in the treatment of a complicated crown-root fracture in the maxillary left central incisor with a wide open apex of a 10-year-old male patient, due to fall from his own height. Post-trauma treatment comprised cervical pulpotomy and adhesive tooth fragment reattachment. After 1 year, clinical and radiograph examinations showed pulp necrosis and an associated periapical lesion. Endodontic therapy with calcium hydroxide-base intracanal dressing, root canal filling and orthodontic extrusion were performed. Extrusion was completed within approximately 16 weeks and the tooth was restored with a post-core system and a prosthetic crown. After a 3 years of follow-up, there was no evidence of apical periodontitis and the tooth was satisfactory both esthetically and functionally.

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Bibliographic Details
Main Authors: Fidel,Sandra Rivera, Fidel-Junior,Rivail Antonio Sergio, Sassone,Luciana Moura, Murad,Cristiana Francescutti, Fidel,Rivail Antonio Sergio
Format: Digital revista
Language:English
Published: Fundação Odontológica de Ribeirão Preto 2011
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402011000300014
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