Case Report
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Multi-disciplinary approach for the treatment of maxillary anterior teeth with luxation injuries and complicated crown fractures: A case report

Year 2016, Volume: 19 Issue: 1, 50 - 56, 03.01.2016

Abstract

Anterior tooth fractures are commonly seen types of dental injury. In the treatment of

complicated crown fractures, two treatment options as extraction and root canal treatment

could be considered due to the remaining tooth structure. Endodontic treatment is vital in order

to maintain function and provides better aesthetics and reliefs the patient’s pain. The aim of

this case report is to present a 17-years-old female patient’s treatment and five-years follow-up

radiographs and photographs. Patient had the multiple traumatized (luxation and complicated

crown fractures) maxillary incisor teeth with periapical lesions. After careful examination and

multidisciplinary treatment, periapical lesions were healed, teeth and adjacent tissues were

healthy and functional. Endodontic treatment must be considered by clinicans instead of

extraction of tooth as a priority.

References

  • Garg N, Garg A. Management of traumatic injuries, in: Textbook of Endodontics, 1st ed., Jaypee Publishers, New Delhi; 2007; p. 339‑62.
  • Atabek D, Alaçam A, Aydintug I, Konakoglu G. A retrospective study of traumatic dental injuries, Dent Traumatol 2014;30:154-61.
  • Andreasen JO, Andreasen FM, Crown fractures. In: Andreasen JO, Andreasen FM, eds. Text Book and Color Atlas of Traumatic Injuries to the Teeth, 3th ed., Copenhagen: Munksgaard, 1993; p. 219-56
  • Ingle J, Bakland L, eds. Endodontics. 5th ed., Hamilton Ontario, Canada: B C Decker Inc. Ltd.; 2002; p. 795‑845.
  • Walton R, Torabinejad M., Principles and Practice of Endodontics, 4th ed., Elsevier Inc.:Saunders, 2009; p. 389‑424
  • Lauridsen E, Hermann NV, Gerds TA, Kreiborg S, Andreasen JO. Pattern of traumatic dental injuries in the permanent dentition among children, adolescents, and adults, Dent Traumatol 2012;28:358-63.
  • Lauridsen E, Hermann NV, Gerds TA, Ahrensburg SS, Kreiborg S, Andreasen JO. Combination injuries 3.The risk of pulp necrosis in permanent teeth with extrusion or lateral luxation and concomitant crown fractures without pulp exposure, Dent Traumatol 2012;28:379-85.
  • Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Pohl Y, Tsukiboshi M; International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012;28:2-12.
  • C SK, Rao A, K S, G HR., Multidisciplinary Approach in Management of Fractured Central Incisor through Composite Plug Stabilization - A Case Report. J Int Oral Health 2013;5:79-82.
  • Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. Scand J Dent Res 1970;78‑329.
  • Koroluk LD, Tulloch JF, Phillips C., Incisor trauma and early treatment for Class II Division 1 malocclusion. Am J Orthod Dentofacial Orthop 2003;123:117-25.
  • Ersahan S, Sabuncuoglu FA, Review of orthodontic treatment planning’s effects on dental pulp and endodontic treatment, J Dent Fac Atatürk Uni 2013;7:102-15.
  • Fernandes M, de Ataide I. Nonsurgical management of periapical lesions. J Conserv Dent 2010;13:240-5.
  • Caliskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: A clinical review. Int Endod J 2004;37:408-16.
  • Bottcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. Effect of calcium hydroxide dressing on the longterm sealing ability of two different endodontic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:386-9.
  • Maitin N, Maitin S, Rastogi K, Bhushan R. Aesthetic management of a complicated crown fracture: a multidisciplinary approach. BMJ Case Rep 2013.
  • Biagi R, Cardarelli F, Storti E, Majorana A, Farronato G. Multiple traumatic injury to maxillary incisors in an adolescent female: treatment outcome with two years follow-up. Ann Stomatol 2013;4:212-7.
  • Altun C, Tözüm TF, Güven G. Multidisciplinary approach to the rehabilitation of a crown fracture with glass-fibre-reinforced composite: a case report. J Can Dent Assoc 2008;74:363-6.
  • Asgary S, Fazlyab M. Management of Complicated Crown Fracture with Miniature Pulpotomy: A case report. Iran Endod J 2014;9:233-4.
  • Arora R, Shivakumar B, Rao HM, Vijay R. Rehabilitation of complicated crown-root fracture by fragment reattachment and intraradicular splinting: case reports. J Int Oral Health 2013;5:129-38.
  • Fornaini C, Rocca JP. Reattachment of a Fractured Anterior Tooth Segment With Pulp Exposure via Er:YAG and Nd:YAG Lasers. Trauma Mon 2015;20:e21470.
  • Surapaneni SK, Chandki R. Preservative management of traumatized maxillary central incisor using fiber reinforced composite and mineral trioxide aggregate: Report of a case. J Nat Sci Biol Med 2015;6:156‑9.
  • Akhtar S, Bhagabati N, Srinivasan R, Bhandari SK. Reattachment of subgingival complicated fractures of anterior teeth. Med J Armed Forces India 2015;71:569-73.
  • Cormier CJ, Burns DR, Moon P. In vitro comparison of the fracture resistance and failure mode of fiber, ceramic, and conventional post systems at various stages of restoration. J Prosthodont 2001;10:26-36.
  • Hayashi M, Sugeta A, Takahashi Y, Imazato S, Ebisu S. Static and fatigue fracture resistances of pulpless teeth restored with postcores. Dent Mater 2008;24:1178-86.
  • Coelho CS, Biffi JC, Silva GR, Abrahão A, Campos RE, Soares CJ. Finite element analysis of weakened roots restored with composite resin and posts. Dent Mater J 2009;28:671‑8.
Year 2016, Volume: 19 Issue: 1, 50 - 56, 03.01.2016

Abstract

References

  • Garg N, Garg A. Management of traumatic injuries, in: Textbook of Endodontics, 1st ed., Jaypee Publishers, New Delhi; 2007; p. 339‑62.
  • Atabek D, Alaçam A, Aydintug I, Konakoglu G. A retrospective study of traumatic dental injuries, Dent Traumatol 2014;30:154-61.
  • Andreasen JO, Andreasen FM, Crown fractures. In: Andreasen JO, Andreasen FM, eds. Text Book and Color Atlas of Traumatic Injuries to the Teeth, 3th ed., Copenhagen: Munksgaard, 1993; p. 219-56
  • Ingle J, Bakland L, eds. Endodontics. 5th ed., Hamilton Ontario, Canada: B C Decker Inc. Ltd.; 2002; p. 795‑845.
  • Walton R, Torabinejad M., Principles and Practice of Endodontics, 4th ed., Elsevier Inc.:Saunders, 2009; p. 389‑424
  • Lauridsen E, Hermann NV, Gerds TA, Kreiborg S, Andreasen JO. Pattern of traumatic dental injuries in the permanent dentition among children, adolescents, and adults, Dent Traumatol 2012;28:358-63.
  • Lauridsen E, Hermann NV, Gerds TA, Ahrensburg SS, Kreiborg S, Andreasen JO. Combination injuries 3.The risk of pulp necrosis in permanent teeth with extrusion or lateral luxation and concomitant crown fractures without pulp exposure, Dent Traumatol 2012;28:379-85.
  • Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Pohl Y, Tsukiboshi M; International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012;28:2-12.
  • C SK, Rao A, K S, G HR., Multidisciplinary Approach in Management of Fractured Central Incisor through Composite Plug Stabilization - A Case Report. J Int Oral Health 2013;5:79-82.
  • Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. Scand J Dent Res 1970;78‑329.
  • Koroluk LD, Tulloch JF, Phillips C., Incisor trauma and early treatment for Class II Division 1 malocclusion. Am J Orthod Dentofacial Orthop 2003;123:117-25.
  • Ersahan S, Sabuncuoglu FA, Review of orthodontic treatment planning’s effects on dental pulp and endodontic treatment, J Dent Fac Atatürk Uni 2013;7:102-15.
  • Fernandes M, de Ataide I. Nonsurgical management of periapical lesions. J Conserv Dent 2010;13:240-5.
  • Caliskan MK. Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: A clinical review. Int Endod J 2004;37:408-16.
  • Bottcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. Effect of calcium hydroxide dressing on the longterm sealing ability of two different endodontic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:386-9.
  • Maitin N, Maitin S, Rastogi K, Bhushan R. Aesthetic management of a complicated crown fracture: a multidisciplinary approach. BMJ Case Rep 2013.
  • Biagi R, Cardarelli F, Storti E, Majorana A, Farronato G. Multiple traumatic injury to maxillary incisors in an adolescent female: treatment outcome with two years follow-up. Ann Stomatol 2013;4:212-7.
  • Altun C, Tözüm TF, Güven G. Multidisciplinary approach to the rehabilitation of a crown fracture with glass-fibre-reinforced composite: a case report. J Can Dent Assoc 2008;74:363-6.
  • Asgary S, Fazlyab M. Management of Complicated Crown Fracture with Miniature Pulpotomy: A case report. Iran Endod J 2014;9:233-4.
  • Arora R, Shivakumar B, Rao HM, Vijay R. Rehabilitation of complicated crown-root fracture by fragment reattachment and intraradicular splinting: case reports. J Int Oral Health 2013;5:129-38.
  • Fornaini C, Rocca JP. Reattachment of a Fractured Anterior Tooth Segment With Pulp Exposure via Er:YAG and Nd:YAG Lasers. Trauma Mon 2015;20:e21470.
  • Surapaneni SK, Chandki R. Preservative management of traumatized maxillary central incisor using fiber reinforced composite and mineral trioxide aggregate: Report of a case. J Nat Sci Biol Med 2015;6:156‑9.
  • Akhtar S, Bhagabati N, Srinivasan R, Bhandari SK. Reattachment of subgingival complicated fractures of anterior teeth. Med J Armed Forces India 2015;71:569-73.
  • Cormier CJ, Burns DR, Moon P. In vitro comparison of the fracture resistance and failure mode of fiber, ceramic, and conventional post systems at various stages of restoration. J Prosthodont 2001;10:26-36.
  • Hayashi M, Sugeta A, Takahashi Y, Imazato S, Ebisu S. Static and fatigue fracture resistances of pulpless teeth restored with postcores. Dent Mater 2008;24:1178-86.
  • Coelho CS, Biffi JC, Silva GR, Abrahão A, Campos RE, Soares CJ. Finite element analysis of weakened roots restored with composite resin and posts. Dent Mater J 2009;28:671‑8.
There are 26 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Reports
Authors

İsmail Özkoçak

Publication Date January 3, 2016
Submission Date December 6, 2016
Published in Issue Year 2016Volume: 19 Issue: 1

Cite

EndNote Özkoçak İ (January 1, 2016) Multi-disciplinary approach for the treatment of maxillary anterior teeth with luxation injuries and complicated crown fractures: A case report. Cumhuriyet Dental Journal 19 1 50–56.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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