Abstract
Complicated crown-root fractures of primary teeth often present with a greater challenge to the pediatric dentist. Extraction of the involved tooth is the routine treatment indicated. But, early loss of this primary tooth may lead to esthetic and psychological problems and also causes a detrimental effect on the development of occlusion and the alveolar bone. The present case report described the management of crown-root fracture in a primary canine by surgical extrusion and showed a satisfactory prognosis at one-year follow-up.
Highlights
Trauma to the teeth and orofacial region is most commonly encountered in children compared to adults
The fracture line originates in the crown portion of the tooth, extends apically into the root in an oblique direction, and frequently exposes the pulp which is termed as a complicated crown fracture
When the fracture line extends below the gingival margin, there is a high chance of microleakage from the gingival crevicular fluid and difficulty in isolation for postendodontic restorations
Summary
Trauma to the teeth and orofacial region is most commonly encountered in children compared to adults. When the fracture line extends below the gingival margin, there is a high chance of microleakage from the gingival crevicular fluid and difficulty in isolation for postendodontic restorations. In such cases, extraction of the fractured tooth is often indicated [1]. Surgical tooth extrusion is considered to be one of the most favourable treatment options when the fracture line extends subgingivally. In cases involving primary teeth, the only treatment opinion available is extraction followed by space management. The present article describes a case of management of crown-root fracture in a primary canine by surgical extrusion, when followed up for 12-month duration that showed a satisfactory prognosis
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