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Management of Traumatized Permanent Maxillary Immature Incisor with Oblique Subgingival Crownroot Fracture | ||
| MUSTANSIRIA DENTAL JOURNAL | ||
| Article 1, Volume 14, Issue 1, 2017, Pages 58-64 | ||
| Authors | ||
| Dr. Muna S. Khalaf; B.D.S. M.Sc; ; ; Dr. Bayan S. Khalaf; ; Dr. Shorouq M. Abass; | ||
| Abstract | ||
| Background: Trauma to the anterior teeth is a common injury in young children. The maxillary incisors being the most affected. Although root fractures are rare, they do occur and were previously and often considered hopeless and were extracted. The time between the injury and the initiation of treatment, level of the fracture line, and stage of root development are some criteria to be considered when choosing a treatment approach for a complicated tooth fracture. This case report describes the management of a traumatized immature maxillary central incisor with Elise class IV fracture with vertical oblique subgingival fracture of the root. Materials and method: Apexification was carried out using biodentine followed by removal of the fractured segment. A fiber post was cemented in the root canal with resin cement. The coronal portion of the tooth was restored using anterior light cured composite material. The tooth was examined and evaluated after 1 week and after 2 months by clinical examination and radiographical evaluation of root development. Results: The follow up evaluation revealed clinical and radiographical success. Radiographic view showed continued development in the apex of the root and showed normal periodontal ligament space and dense lamina dura. Conclusion: Extraction should not be the first choice of treatment for extensively damaged young permanent teeth in the anterior region; instead, alternative treatment modalities must be considered. The traumatized immature tooth was saved and restored. | ||
| Keywords | ||
| Key Words; subgingival root fracture; immature permanent incisors | ||
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