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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

Publication:
March 2011
Volume 42 , Issue 3

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Treatment of a crown-root fracture with concomitant root fracture

Stefanie Feierabend, DDS, Dr Med Dent/Yvonne Jockel-Schneider, DDS, Dr Med Dent/Bernd Klaiber, DDS, Prof Dr Med Dent

Pages: 239–242
PMID: 21465011

The aim of this case report was to present a treatment strategy for severely injured teeth in children and adolescents by using periodontal surgery and adhesive techniques. A 16-year-old boy presented after a severe bicycle accident. A radiograph revealed a root fracture with connective tissue healing and displacement. Clinically, a crown-root fracture as well as an uncomplicated crown fracture of the same fragment was obvious. The root canal was prepared and filled with gutta-percha to the fracture line. A full periodontal flap was performed, and the crown-root fragment was adhesively fixed. The flap was tightly apposed, and the missing mesial edge of the tooth was restored with composite resin. A control radiograph showed a neatly fixed coronal fragment and sufficient root canal filling. The amount of work required proved to be acceptable for both patient and clinician—even if an implantation might have to be considered when the patient is full-grown—because of the longevity of the procedure. (Quintessence Int 2011;42:239–242)

Key words: crown-root fracture, periodontal flap, reattachment, root fracture

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