Treatment of complicated crown root fracture by means of surgical extrusion – A case report
Keywords:
Surgical extrusion, Biological width, Crown lengthening, Crown-root ratio, Crown root fracture
Abstract
This report is about a case involving surgical extrusion technique as a possible strategy of action for a fractured upper incisor. A 13 year old male patient reported to our department with fractured right maxillary central incisor. As a result of a traumatic injury, the tooth was fractured. Root canal treatment was done before the surgically extruding the tooth. Atraumatic surgical extrusion of the tooth was performed by gently luxating and extruding to the desired position, minimizing damage to the marginal alveolar bone. A semi-rigid splinting was done for 2 weeks and final restoration placed after 6 weeks. On three months follow up, no postoperative issues were noted.
References
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2. Yadav R, Mittal S, Bansal M. Management of complicated crown fractures with rapid orthodontic extrusion and surgical crown lengthening: two case reports. Int J Health Sci Res. 2020; 10(6):157-161.
3. Linu S, Issac L, Babu A, Dinakaran S, Lekshmi MS. Management of Complicated Crown-Root Fracture - An Interdisciplinary Approach. Manipal Journal of Dental Sciences. 2017; 2(1): 18-22.
4. Argueta J, Orellana A, Plotino G. Surgical extrusion: A reliable technique for saving compromised teeth. A 5-years follow-up case report. Giornale Italiano di Endodonzia, 2018; 32: 25-30.
5. Becciani R, Faganello D and Fradeani M. Surgical extrusion: a simplified esthetic method of treating non-restorable teeth. Int J Esthet Dent 2018; 13(2): 240-273.
6. Bourguignon C, Cohenca N, Lauridsen E, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol 2020; 36(4): 314–330.
7. Lee JH, Yoon SM. Surgical extrusion of multiple teeth with crown-root fractures: a case report with 18-months follow up. Dent Traumatol. 2015; 31(2): 150-5.
8. Das B, Muthu MS. Surgical extrusion as a treatment option for crown-root fracture in permanent anterior teeth: a systematic review. Dent Traumatol 2013; 29: 423-31.
9. Elkhadem A, Mickan S, Richards D. Adverse events of surgical extrusion in treatment for crown-root and cervical root fractures: a systematic review of case series/reports. Dent Traumatol 2014; 30: 1-14.
Published
2023-09-05
How to Cite
Mahendra Kumar Jindal, Imam azam, Ashik Mohamed V N, & Pranshu Varshney. (2023). Treatment of complicated crown root fracture by means of surgical extrusion – A case report. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 9(4). https://doi.org/10.21276/ujds.2023.9.4.8
Section
Case Reports
