Combined orthodontic, surgical, and restorative approach to treat a complicated crown-root fracture in a maxillary central incisor.

Autor: Scholtes E; Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands., Suttorp CM; Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands., Loomans BA; Department of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands., Van Elsas P; Private practice, Bloemendaal, The Netherlands; Department of Oral Implantology and Prosthetic Dentistry, Academic Center for Dentistry, Amsterdam, The Netherlands., Schols JG; Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: Jan.Schols@radboudumc.nl.
Jazyk: angličtina
Zdroj: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [Am J Orthod Dentofacial Orthop] 2018 Oct; Vol. 154 (4), pp. 570-582.
DOI: 10.1016/j.ajodo.2017.08.029
Abstrakt: This case report shows the treatment of a severe traumatic tooth injury. For the maxillary right central incisor, the trauma was considered a complicated crown-root fracture. The level of the fracture line, the length of the remaining root segment, and the presence and condition of the tooth fragment determined the type of therapy. Traumatized teeth with fractures below the alveolar crest are often considered hopeless. As this report shows, the treatment of a complicated crown-root fracture in the esthetic region can be challenging. Orthodontic extrusion and crown-length surgery were performed to bring the fracture line above the alveolar bone crest. A multidisciplinary approach was required for complete rehabilitation of the traumatized maxillary incisor. Suggestions are made to improve treatment planning of complicated crown-root fractures.
(Copyright © 2018 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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