Crown-root fracture- a multidisciplinary approach
Fratura coronorradicular: uma abordagem multidisciplinar
Prado, Maíra do; Gomes, Brenda Paula Figueiredo de Almeida; Telles, Elise Lanziotti; Araújo, Marcos Cesar Pimenta de; Gusman, Heloísa Carla
Abstract
A crown-root fracture involves enamel, dentin and cementum. There may or may not be pulp involvement. Several treatments are proposed in the literature, going from a simple bond of dental fragments to surgical extrusion of the dental remaining fragments. The article describes a case of crown-root fracture with pulp involvement, and the multidisciplinary approach applied to the case. Case report: Patient required dental treatment due to a “broken tooth”. The treatment consisted in a mucoperiosteal flap to remove dental fragments, endodontic treatment, temporary restoration, orthodontic extrusion, a new restoration, and the follow-up of the case. Conclusion: While treating the anterior teeth of young patients, the orthodontic extrusion accompanied by restorative treatment is the most conservative and aesthetic option of treatment.
Keywords
Resumo
Uma fratura coronorradicular envolve esmalte, dentina e cemento, podendo ou não haver comprometimento pulpar. Vários tratamentos são propostos na literatura, desde a colagem do fragmento dental até a extrusão cirúrgica do fragmento remanescente. O presente trabalho descreve um caso de fratura coronorradicular com envolvimento pulpar e a abordagem multidisciplinar dada ao caso. Descrição do caso clínico: Paciente procurou tratamento odontológico por causa de um “dente quebrado”. O tratamento realizado consistiu em um retalho mucoperiosteal para remoção dos fragmentos dentais, tratamento endodôntico, restauração provisória, extrusão ortodôntica, uma nova restauração e a proservação do caso. Conclusão: Em pacientes jovens, na região anterior, a extrusão ortodôntica acompanhada do tratamento restaurador é uma opção de tratamento conservador e estético.
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References
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