Journal of Operative Dentistry & Endodontics

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VOLUME 9 , ISSUE 1 ( January-June, 2024 ) > List of Articles

CASE REPORT

Comprehensive Management of Crown-root Fracture: A Case Series

Vinitha Velusamy, Mahendran Kavitha

Keywords : Case report, Crown fracture, Dental trauma, Esthetic management

Citation Information : Velusamy V, Kavitha M. Comprehensive Management of Crown-root Fracture: A Case Series. J Oper Dent Endod 2024; 9 (1):7-10.

DOI: 10.5005/jp-journals-10047-0137

License: CC BY-NC 4.0

Published Online: 19-10-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

The treatment options for trauma vary depending on the severity of the traumatic injury. A young patient suffering from such an injury might experience emotional trauma as a result of functional and esthetic causes. This case report describes the clinical management of two complicated crown-root fracture cases. A 23-year-old male patient came with a complaint of broken teeth in the upper front tooth region, with a history of road traffic accident (RTA). On intraoral examination, there was an Ellis class 3 fracture in 11, 12, and 21. So the diagnosis was made to be fractured teeth in 11,12, and 21. The patient has been treated with cast post in 11, fiber post placement and composite core buildup in 12, and 180° rotation in 21 and placement of metal-ceramic crowns in all three teeth. The patient has been followed up for a period of 1 year, and he is totally asymptomatic. A 17-year-old male patient came to the department with a missing tooth in relation to 22. IOPA has revealed the presence of root in 22, suggesting complete crown fracture in 22. So the treatment plan has been formulated to carry out surgical extrusion of 22 and restored with cast post and crown. Addressing the traumatic injury at the right time, with proper diagnosis and following a systematic approach might benefit the patient.


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