Treatment of crown-root fracture with a modified crown fragment reattachment technique.
10.5395/JKACD.2010.35.5.395
- Author:
Chang Won SONG
1
;
Min Ju SONG
;
Su Jung SHIN
;
Jeong Won PARK
Author Information
1. Department of Conservative Dentistry, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea. pjw@yuhs.ac
- Publication Type:Case Report
- Keywords:
Biologic width;
Crown fragment reattachment;
Crown root fracture;
Periodontal attachment;
Subgingival fracture
- MeSH:
Adhesives;
Crown Lengthening;
Crowns;
Dentistry;
Follow-Up Studies;
Humans;
Tooth
- From:Journal of Korean Academy of Conservative Dentistry
2010;35(5):395-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The development of adhesive dentistry has allowed that the crown fragment reattachment can be another option in the treatment of crown fracture. However, additional crown lengthening procedure or extrusion of the tooth may be necessary in the treatment of crown root fracture because subgingival fracture line in close proximity to the alveolar bone leads to challenges for restorative procedure and the violation of the biologic width. This case report presents a modified crown fragment reattachment technique of crown root fracture with pulp exposure, which was done without additional crown lengthening procedures. After the endodontic treatment, the patient was treated using a post insertion and the fragment reattachment technique, which made it possible to preserve the space for the biologic width and maintain a dry surgical field for adequate adhesion through the modification of the fractured coronal fragment. Since a coronal fracture was occurred and reattached afterward, it was observed that the coronal fragment was well maintained without the additional loss of periodontal attachment through 2-year follow up.
