Management Of Complicated Crown Fracture Research Articles

Integrative management of complicated crown fracture

Integrative management of complicated crown fracture

Decision-making in the management of complicated crown fractures in children

Complicated crown fractures of permanent teeth following dental trauma in children are a common presentation in the dental practice. The prognosis of these teeth largely depends on the emergency management provided by the dentist. Treatment options include direct pulp capping and partial pulpotomy. While both have been suggested as possible vital pulp therapies for the management of complicated crown fractures, there are no clear recommendations as to when each procedure is indicated to aid the clinician in decision making. This narrative review aims to provide evidence-based recommendations for the optimal management of complicated crown fractures in children. The factors affecting success rates of both direct pulp capping and partial pulpotomy are discussed and a step-by-step guide to carrying out a partial pulpotomy is presented. CPD/Clinical Relevance: This article will assist clinicians in making an evidence-based decision for the optimal management of complicated crown fractures of permanent teeth in children.

Management of Complicated Crown Fracture by Partial Pulpotomy & Fragment Reattachment: A Case Report

The management of complicated crown fractures require immediate intervention as it affects the pulp health and has psychological impact on patients. Vital pulp therapy combined with fragment reattachment is the most conservative and minimally invasive treatment strategy for the management of these fractures if the fragment is available. This case report discusses the conservative technique for the management of complicated crown fracture of maxillary right central incisor by performing partial pulpotomy with MTA followed by fragment reattachment done within 24 hours of trauma. A six month follow up revealed healthy vital pulp and retained fragment with acceptable aesthetics and function.nbsp

Management of complicated crown fracture by tooth fragment reattachment with fiber post: a case report

Management of complicated crown fracture by tooth fragment reattachment with fiber post: a case report

The Management of Complicated Crown Fracture of Anterior Primary Teeth

Background: Injury in the primary teeth and their supporting structures is one of the most common dental health problems observed in children. Injuries in children occurred from an external forces which classified in to dental emergency treatment in pediatric growth and development. A child is perceived to be in a dynamic state of growth, both mentally and physically. Curiosity about surrounding environment and urging to explore may lead to dental injuries. A vital pulpectomy and continued selection of an appropriate restoration after a traumatic injury can mentain the primary tooth in its arch until the time of exfoliation. Purpose: Reported the management of complicated crown fractures in the upper left primary teeth. Case Report: This report presented a 2 years old boy with complicated crown fracture on the upper left primary teeth. The parents gave the history of trauma related to front region of the jaw and they wanted to restore the involved tooth without getting extraction. After an intra oral examinations, it was observed that crown was fracture with vital dental condition. Case Management: After removing the fractured fragment, a vital pulpectomy was conducted in three visit periods at the remaining upper left primary teeth with final glass ionomer cement restoration using strip crowns. Conclusion: The importance of reconstruction on anterior primary teeth after traumatic injury provides both functional and aesthetic restorations for the child, what reflects on masticatory efficiency, increased self-steam and also phonetic improvements.

Global status of knowledge for prevention and emergency management of traumatic dental injuries in dental professionals: Systematic review and meta‐analysis

Dental professionals are the primary care providers for traumatic dental injuries (TDI). The dental traumatology literature has a number of studies evaluating the knowledge of dental professionals from different parts of the world but its global status is unknown. Hence, the aim of this systematic review was to assess the global status of knowledge for the prevention and emergency management of TDI in dental professionals and to provide recommendations for future research. The protocol was designed as per the PRISMA guidelines and registered in PROSPERO (CRD42020192381). A broad-based search using text words and MeSH terms was performed in established databases as per a pre-defined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity and reliability were excluded. Data extraction was performed, risk of bias assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta-analysis was performed. Sixteen studies, which had been published between 2008 and 2020, were included for qualitative synthesis. Most of them were cross-sectional, used convenience sampling and evaluated knowledge for avulsion. Previous dental trauma training was undertaken by <50% of the participants of five studies, <50% knew about the correct approach in management of complicated crown fractures in three studies and ≤60% in four studies knew the critical time for replantation. There was insufficient level of knowledge in >50% of the included studies. High risk of bias was found in three studies. The knowledge level in several areas of the world was unknown. The studies lacked uniformity in methods and well-designed questionnaires and they revealed insufficient levels of knowledge among dental professionals.

Clinical Practice Guidelines for The Management of Complicated Crown Fracture in Permanent Teeth

Clinical Practice Guidelines for The Management of Complicated Crown Fracture in Permanent Teeth

Esthetic Management of Complicated Crown Fracture in Anterior Teeth: A Case Report

Esthetic Management of Complicated Crown Fracture in Anterior Teeth: A Case Report

Comprehensive management of complicated crown fracture in a 10-year-old child

Trauma to the maxillary anterior teeth is a common incidence in young patients. Pediatric dentists have to deal with such dental traumatic injuries on a regular basis in their daily routine practice. Some clinical studies have reported reattachment of fractured tooth segment using adhesive resin cement and dentine bonding agent with or without postplacement. This case report presents a comprehensive management of complicated crown fracture in the maxillary anterior teeth with reattachment of the fractured tooth segment with dual-cure adhesive resin and a prefabricated glass-reinforced composite fiber post followed by a permanent restoration.

Management of complicated crown fractures in permanent dentition with fragment reattachment

Management of complicated crown fractures in permanent dentition with fragment reattachment

Management of Complicated Crown Fracture: Tooth Fragment Re-Attachment as A Single Visit Procedure with Crown Lengthening by Diode Laser: An Interdisciplinary Case Series.

Management of Complicated Crown Fracture: Tooth Fragment Re-Attachment as A Single Visit Procedure with Crown Lengthening by Diode Laser: An Interdisciplinary Case Series.

Management of Complicated Crown Fracture and Associated Palatally Placed Impacted and Inverted Mesiodens

Management of Complicated Crown Fracture and Associated Palatally Placed Impacted and Inverted Mesiodens

Multidisciplinary Approach in the Management of Complicated Crown Fracture

Multidisciplinary Approach in the Management of Complicated Crown Fracture

Management of Complicated Crown Fractures in Vital Immature Incisors

Introduction: Dental trauma is one of the most serious oral conditions especially among children. It frequently occurs in children from 6 to 13 years old, often involving teeth with incomplete root formation. The most common dental injury at this age is crown fracture. Arguments: To provide this clinical guide, Pubmed and Scopus were searched using the following keywords: Immature, Incisor and Pulpotomy. More importantly, the latest clinical guidelines provided by the International Association for Dental Traumatology, British Society of Paediatric Dentistry, and the Royal College of Surgeons of England and National Institute for Health and Care Excellence were studied and incorporated into this paper (Grade 1 evidence). Conclusions: Management of a young patient who has sustained such trauma includes a wide range of options based on the clinical and radiographic findings. Here we explain in detail the latter as well as covering available literature and guidelines.

Immediate management of complicated crown fracture: A case series

Trauma to anterior tooth is prevalent among adolescents. An immediate management of complicated crown fracture is reattachment of fragments or biologic tooth restoration. The present case series elucidate the fracture reattachment using conventional preparation design for resin restoration. The adhesive reattachment provides an original tooth color and contour that aids in rehabilitation of traumatized tooth. The present case series depicts that fracture reattachment is a viable, conservative and esthetic alternative for treatment of complicated crown fracture. The long-term prognosis is still obscure, but it is an immediate technique of esthetic rehabilitation.

A Conservative Esthetic Rehabilitation of Complicated Tooth Fracture: Two Case Reports

ABSTRACT Maxillary incisors are the most commonly involved teeth in traumatic injuries. As their esthetic and functional value is unequivocal, their treatment becomes major concern for both, the patient as well as the dentist. Various treatment modalities have been practiced for fractured anterior teeth, including composites, laminates, esthetic crown or the reattachment of fractured fragment. Among which fragment reattachment is considered to be the most conservative, natural and an esthetic approach. Reattachment of fragment could be the viable treatment option only when the tooth fragment is intact and having its good clinical approximation with the remaining tooth structure. In addition, the overall success of this treatment modality depends upon the fragment's extend of dehydration (time lapsed), patient cooperation and also the skill of the operator for such case selection. This article discusses the management of complicated crown fractures of anterior teeth which were managed successfully in a conservative manner. How to cite this article Ramugade MM, Chandwani ND, Sapkale KD, Metkari SS. A Conservative Esthetic Rehabilitation of Complicated Tooth Fracture: Two Case Reports. Int J Prosthodont Restor Dent 2013;3(3):96-100.

Management of complicated crown fracture by reattachment technique: A clinical report

Anterior crown fractures area common form of traumatic dental injuries that mainly affect the maxillary central incisors, in children and teenagers. Since the development of the adhesive dentistry, many case reports of crown fractures restored using adhesive reattachment techniques were published. This article reports management of one coronal tooth fracture case that were successfully treated using tooth fragment reattachment on palatal aspect especially along with the use of adhesive resins for coronal build up.

Bio-reconstruction of root canal using dentin post

This case report describes the successful management of complicated crown fracture of left maxillary central incisor (#21) of 23-year-old male using dentin (biological) post made from human tooth. Endodontic treatment was initiated and sectional obturation was done using ProTaper gutta-percha and AH Plus sealer. The coronal space was modified to receive a human dentin post. A two-step procedure comprising direct and indirect technique of post fabrication was done to achieve the accuracy of biological post. A maxillary cuspid from an institutional tooth bank was taken, sectioned mesiodistally using a diamond disc simulating the length and thickness of mock post. Dentin post was first verified on the plaster model and then cemented in tooth #21. Core build up was done with composite and porcelain fused to metal (PFM) crown was luted. On the follow-up visits, patient was asymptomatic and radiographic evaluation revealed normal periradicular architecture. Biological posts may be good alternatives to conventional post systems as they preserve internal dentin walls, provide excellent adhesion, and resilience similar to natural tooth structure.

Complicated crown fractures – management and treatment options

Complicated crown fractures involve enamel, dentine and the pulp. The incidence of complicated crown fractures ranges from 2% to 13% of all dental injuries and the most commonly involved tooth is the maxillary central incisor. Various treatment modalities are available depending upon the clinical, physiological and radiographic status of the involved tooth. The aim of this article was to discuss techniques for the management of complicated crown fractures. Management of complicated crown fractures depends upon several factors with the result that various clinical modalities have been suggested. Seven case reports of complicated crown fractures are presented and risks/benefits of the treatment plans are discussed. Proper diagnosis, treatment planning and follow-up care are important factors in the prognosis of complicated crown fractures. Thorough understanding of the available treatment modalities and their specific indications is critical. The risks and benefits of each treatment option should be carefully evaluated during the treatment planning process.