Article: Volume 46 Number 11 Page 1050 - December 2019

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  Dent Update 2019; 46: 1050-1055

Endodontics/Restorative Dentistry:  Dental Trauma: Management of Complicated Crown Root Fractures

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Abstract: Trauma of maxillary incisors is frequent and dental practitioners have to be competent in managing the consequences. Complicated crown root fractures of anterior teeth can have profound aesthetic and psychological implications on patients. In younger patients, if extractions are considered, it can lead to complex prosthodontic challenges in the future. Ideally, an attempt should be made in restoring the traumatized teeth, so an effective aesthetic and functional result can be reached. This case report highlights the treatment of complicated crown root fractures on maxillary incisors using endodontics and fragment re-attachment of the fractured crowns. Twelve-month follow-up of the treatment demonstrated aesthetic and functional success and delayed the need for prosthetic replacement.

Clinical relevance: This paper describes traumatic injuries of teeth and how management via fragment re-attachment of the fractured crowns has led to delay of definitive prosthetic treatment.

Author notes: Khawer Ayub, BDS, MFDS RCSP(Glas), Specialty Registrar in Restorative Dentistry, King's College Hospital and William Harvey Hospital (email: khawer.ayub@nhs.net) and James Darcey, BDS, MSc, MDPH, MFGDP, MEndo, FDS(Rest Dent) RCSEd, Consultant and Honorary Lecturer in Restorative Dentistry, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester M15 6FH, UK.

Objective: To describe how management of traumatic teeth injuries were treated in a young patient to delay definitive prosthetic replacement.

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