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Interdisciplinary management in the paediatric patient: restoration of a complicated crown-root fracture Darren Hand Lucy Burbridge Ben OI Cole Dental Update 2024 39:4, 707-709.
Authors
DarrenHand
BDS, MFDS, DipConSed
Consultant in Paediatric Dentistry, Department of Child Dental Health, Newcastle Dental Hospital, Framlington Place, Newcastle upon Tyne NE2 4BW, UK
Complicated crown-root fractures in permanent teeth present both patient-centred and restorative problems when treating the adolescent. This case highlights an alternative and conservative technique for the management of a traumatically involved maxillary left central incisor in a 12-year-old boy. The injury was successfully managed through an interdisciplinary approach using a combination of endodontics, minor oral surgery and orthodontics. The approach resulted in utilizing the patient's own tooth fragment to facilitate restoration back into successful function and aesthetics with the absence of any pathological changes.
Clinical Relevance: Severely compromised teeth can be successfully managed by a combination of modern adhesive, endodontic and orthodontic treatment in the co-operative paediatric patient.
Article
Dento-alveolar trauma is commonly encountered in children and adolescents, and are most frequently the result of an accidental fall.1 The majority of cases generally involve the maxillary central incisors,2 with boys being susceptible to injury approximately twice as much as girls.3 The 2003 Child Dental Health Survey also reports that 11% of 12-year-olds and 13% of 15-year-olds have suffered visible evidence of trauma to their permanent incisors, with the peak age for injury occurring between 8 and 10-years-old.3,4 It is important to recognize the aetiologies of traumatic dental injuries in children and that some children are at greater risk of dental trauma than others, especially when a particular child has an increased overjet and incompetent lips.5
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