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Submitted: 01 Dec 2019
Accepted: 15 Dec 2019
ePublished: 30 Dec 2019
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Avicenna J Dent Res. 2019;11(4): 131-134.
doi: 10.34172/ajdr.2019.26
  Abstract View: 19
  PDF Download: 12

Case Report

Management of Immature Permanent Teeth With Crown-Root Fracture: A Case Report With a 24-Month Follow-up

Arghavan Kamali Sabeti 1, Ali Aghajani 2, Arghavan Afshar 2, Zahra Pakseresht 3, Zahra Karimizade 1* ORCID logo

1 Assistant Professor, Department of Pediatric Dentistry, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran.
2 Resident, Department of Pediatric Dentistry, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran.
3 Assistant Professor, Department of Endodontics, Dental School, Gilan University of Medical Sciences, Rasht, Iran.
*Correspondence to Zahra Karimizade, Tel: 09171860125, Email: Zahra_kmz69@yahoo. com

Abstract

Background: Crown root fractures are usually caused by severe horizontal trauma, involving enamel, dentine, and cementum, and continue down to the gingival margin. One of the most common areas affected by trauma in the mouth is maxillary central incisors.

Case Presentation: A10-year-old boy fractured his maxillary central incisors. The fracture line involved the pulp and extended subgingivally on the palatal aspect invading the biologic width. The procedure used to manage this case included endodontic treatment of residual teeth and surgical extrusion to move the fracture line above the alveolar bone. Finally, the teeth were restored with composite build-up.

Conclusion: During 24-month follow-up period, the teeth did not show any signs of root resorption. Therefore, surgical extrusion is recommended as a treatment option for crown/root fractures.

Keywords: Crown-root fracture, Immature tooth, Surgical extrusion
Citation: Kamali Sabeti A, Aghajani A, Afshar A, Pakseresht Z, Karimizade Z. Avicenna J Dent Res. 2019;11(4):131-134. doi: 10.34172/ajdr.2019.26.
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