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Case Reports
. 2023 Apr 20;15(4):e37907.
doi: 10.7759/cureus.37907. eCollection 2023 Apr.

Management of Complex Crown Fractures: A Case Series

Deepika Lakshmaiah  1 , Visshnuvardhini Sr  1 , Sangita Ilango  1 , Nikesh Sakthi  1 , Sreelakshmi Ps  1
Affiliations
Case Reports

Management of Complex Crown Fractures: A Case Series

Deepika Lakshmaiah et al. Cureus. .

Abstract

Maxillary teeth are most vulnerable to fracture due to trauma. An effective treatment plan for an anterior teeth fracture not only improves function and appearance but also benefits the patient psychologically. The reattachment of the fragmented tooth is one of the best treatment methods for such condition. It is considered as a better treatment option because it is uncomplicated, aesthetic, and preserves the dental structure. To achieve a positive prognosis, patient cooperation and awareness about the treatment are essential. This article includes three case reports that illustrate the management of complex maxillary anterior teeth fractures wherein the reattachment of the fractured tooth segments was undertaken.

Keywords: complicated fracture; crown fracture; maxillary anterior teeth; reattachment; trauma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Pre-operative clinical photograph showing the enamel and dentin fracture with an evident pulpal exposure in 11 and 12
Figure 2
Figure 2. Intraoral periapical radiographs of 11, 12: (A) working length determination; (B) master cone placement; (C) post-operative radiograph after obturation and fragment stabilization
Figure 3
Figure 3. Fractured fragment stabilized in 11 using adhesive protocols
Figure 4
Figure 4. Post-operative clinical photographs of 11 and 12 taken (A) immediately and (B) at six months of follow-up
Figure 5
Figure 5. Pre-operative clinical photograph showing fractured 12 and 21
Figure 6
Figure 6. Removed tooth fragment of 12
Figure 7
Figure 7. Placement of the fiber post after sectional obturation in 12
Figure 8
Figure 8. Intra-oral periapical radiographs depicting post placement and fragment reattachment in 12: (A) post-obturation radiograph, (B) placement of the fiber post, (C) after post placement and fragment reattachment in 12
Figure 9
Figure 9. Post-operative clinical photograph after fragment reattachment in 12
Figure 10
Figure 10. Clinical picture after a follow-up period of six months
Figure 11
Figure 11. Pre-operative clinical photograph showing fractured 11
Figure 12
Figure 12. Intraoral periapical radiographs: (A) pre-operative radiograph of fractured 11; (B) working length determination; (C) sectional obturation; (D) post-operative radiograph after post placement and fragment reattachment
Figure 13
Figure 13. Elevation of the triangular flap prior to fragment removal in 11
Figure 14
Figure 14. Post-operative clinical photograph after suturing
Figure 15
Figure 15. Post-operative clinical photograph after the three-month follow-up
See this image and copyright information in PMC

References

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