Multidisciplinary Approach in The Management of Cervical Rootfracture: A Case Report.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 1
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
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