Multidisciplinary Approach in The Management of Cervical Rootfracture: A Case Report.

Abstract

Traumatic injuries to the teeth can occur at any age. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols to ensure reliable strength, durability and aesthetics.Cervical root fractures pose a true therapeutic dilemma to the dental team.In such cases, the prognosis is less favorable because of difficulty in immobilizing the tooth. Repair doesnot occur due to constant movement of the tooth and exposure of the pulp to the oral environment.Clinically, the displacement of the coronal fracture segment is minimal as fractured segments are held together by the underlying periodontal ligament and the remaining radicular segment of the tooth might be partly below the level of the gingiva.Attempts to expose the fracture line by alveolar re-contouring and periodontal procedures may compromise the functional root length and esthetics. Forced orthodontic extrusion is considered as a good treatment option to expose the fracture line, which can produce excellent results. This was first advocated by Heithersay in 1973. The procedure is slow and cumbersome and is indicated in cases where the crown-root ratio would not be compromised after the extrusion.The fragment reattachment is a very conservative treatment which can be considered once fracture line is exposed. It allows the restoration of the original dental anatomy thus rehabilitating function and aesthetics by preserving dental tissues. This case report describes a multidisciplinary approach in management of asubgingivally fractured permanent maxillary lateral incisorunder local anesthesia; the fractured part was carefully separated. After completion of root canal treatment, the root segment was orthodontically extruded and the coronal fragment was successfully reattached with an adhesive tooth reattachment technique.

Authors and Affiliations

Ratheesh Rajendran

Keywords

Related Articles

Successful endodontic management of three rooted mandibular 1st molars: Radix Entomolaris - A Case Series.

Radix entomolaris (RE) is considered to be an Asiatic trait. However, its prevalence in Indian population is found to be lower than in other Asian races. Hence, its awareness and identification is pivotal to achieve succ...

Classic to Classy-Refinement in Pediatric Endodontics –A Review.

Despite the extensive progress that has been achieved in prevention of dental caries worldwide, and the variety of treatment modalities to treat inflamed and/or infected pulp, a remarkable number of complications of untr...

Assessment of Antibacterial, Anti-Inflammatory and Antioxidant Effects of Cinnamommum Zeylanicum (Cinnamon) – An In-Vitro Study.

Background and Objectives: Various phytochemicals-based plant extracts have been utilized in the management of periodontal diseases. Cinnamommum zeylanicum (cinnamon) is one such plant with medicinal property. The aim of...

Present And Future Of Maxillofacial Prosthetic Materials.

Maxillofacial rehabilitation is one of the most challenging aspects of treatment of a facial or associated structures defect. The field of maxillofacial rehabilitations is fast growing and so are the materials and techni...

Gingival Veneer-An Esthetic Challenge for Gingival Recession Management.

Anterior dental esthetics becomes crucial in patients with periodontal disease with open embrasures, increased crown height, black triangles. Periodontal diseases result in damage and destruction of the supporting struct...

Download PDF file
  • EP ID EP580465
  • DOI -
  • Views 53
  • Downloads 0

How To Cite

Ratheesh Rajendran (2019). Multidisciplinary Approach in The Management of Cervical Rootfracture: A Case Report.. International Journal of Dental Science and Innovative Research (IJDSIR), 2(1), 114-117. https://europub.co.uk/articles/-A-580465