Fragment Reattachment of an Uncomplicated Crown–Root Fracture: A Case Report

Sneha S Kothare; Shikha Choubey; Aumiyo Das

doi:10.5005/jp-journals-10077-3038

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Fragment Reattachment of an Uncomplicated Crown–Root Fracture: A Case Report

Sneha S Kothare, Shikha Choubey, Aumiyo Das

Keywords : Fragment reattachment, Fragment rehydration, Periodontal health, Root fracture, Uncomplicated crown

Citation Information : Kothare SS, Choubey S, Das A. Fragment Reattachment of an Uncomplicated Crown–Root Fracture: A Case Report. J South Asian Assoc Pediatr Dent 2020; 3 (1):30-33.

DOI: 10.5005/jp-journals-10077-3038

License: CC BY-NC 4.0

Published Online: 23-07-2020

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Abstract

Traumatic dental injuries are very common in children and adolescents, with the line of treatment depending on the time elapsed, age of the child, and tooth maturity. Management of crown–root fractures is a multidimensional process involving management of the traumatized tooth as well as the adjacent soft tissues. The present case report is of a 10-year-old boy with an uncomplicated crown fracture of permanent maxillary right central incisor and a palatal uncomplicated crown–root fracture of his permanent maxillary left central incisor. Both the teeth were endodontically treated in a two-visit process, and gingivectomy was performed palatally with the left central incisor. The fractured fragment was reattached using nano-filled dual-cure composite resin and tooth restored with composite resin. The fragment showed opaque discoloration that reduced over time but still persisted after 1 year. During the follow-up period, no unfavorable radiographic changes were seen. The prognosis of the teeth was favorable with good esthetic results.

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