Revascularization of an Immature Permanent Central Incisor with Complicated Crown Root Fracture: A Case Report

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

Author
1. Shreema Shetty
2. Preeth Shetty
3. Amitha M Hegde
4. Anu John
ISSN
0974-7052
DOI
10.5005/jp-journals-10005-1574
Volume
12
Issue
1
Publishing Year
2019
Pages
5
Author Affiliations
    1. Department of Pedodontics and Preventive Dentistry, AB Shetty Memorial Institute of Dental Sciences, Mangaluru, Karnataka, India
    1. Department of Pedodontics and Preventive Dentistry, A.B. Shetty Memorial Institute of Dental Sciences, Mangaluru Karnataka, India
    1. Department of Pedodontics and Preventive Children Dentistry, AB Shetty Memorial Institute of Dental Sciences Mangalore, Karnataka, India
    1. Department of Pedodontics and Preventive Dentistry, AB Shetty Memorial Institute of Dental Sciences, Mangaluru, Karnataka, India
  • Article keywords
    Crown root fracture, Immature teeth, Revascularization

    Abstract

    The treatment of complicated crown root fracture in children possesses a great challenge to pedodontists. A 10-year-old boy presented with trauma to the permanent maxillary left central incisor. Upon clinical and radiographic examination, revealed mobility of coronal fragment, open apex, and vertical fracture involving enamel dentin and pulp. Instead of the standard root canal treatment protocol, revascularization was performed after stabilizing the coronal fragment. The detachment of the coronal fragment occurred following a fall for the second time after 1 month of placement of mineral trioxide aggregate (MTA) over the blood clot. The coronal seal was intact; hence, the coronal fragment was reattached and the crown was placed. At 12-month follow-up, clinical and radiographic evaluation showed that the tooth was asymptomatic and functional. With increasing scope of clinical facts, patient, and practitioner favorable reception, regenerative techniques may be used as a standard technique in treating complicated crown root fracture in young permanent teeth.

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