Work

Multidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up

Year: 2024

Type: article

Abstract: BACKGROUND: Pediatric anterior teeth complex crown-root fractures has high incidence and pose greater treatment challenges. Dynamic tooth development increases risks for orthodontic, periodontal, and restorative treatments. CASE DESCRIPTION: The authors present a case of a 12-year-old boy with a complex crown-root fracture in the right maxillary central incisor. Initial treatment involved following IADT guidelines and extracting the fractured crown for orthodontic and restorative care. Collaboration among periodontists, orthodontists, and restorative dentists facilitated orthodontic traction and resin restoration, along with subgingival restoration surface treatment, improving periodontal health. Over 8 years, stable tooth and periodontal health with satisfactory aesthetics were observed, without inflammation or pain. CONCLUSION: Follow-up of 8 years showed favorable prognosis for the affected tooth, highlighting the essential role of periodontists and consideration of periodontal health in managing complex crown-root fractures in children.

Source: BMC Oral Health

DOI: 10.1186/s12903-024-05281-8

Authors: Tiankai Di, Xiyu Zhang, Haohan Yu, Yang Yang, Lulu Wang, Yujiang Chen

Institutions: Chinese People's Liberation Army, Air Force Medical University

Language: English

Topic: Dental Trauma and Treatments

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,090