Document Detail


Management of a complicated crown-root fracture in a young permanent incisor using intentional replantation.
MedLine Citation:
PMID:  18173676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this case presentation is to review the rationale for and illustrate the clinical procedures involved in intentional replantation of a maxillary central incisor following a complicated crown-root fracture. The treatment of complicated crown-root fractures in children often is compromised by a fracture below the gingival margin and/or bone. This makes isolation difficult and comprises the hermetic seal that is critical for a successful endodontic treatment. Orthodontic or surgical extrusion with gingivectomy has been suggested; however, these approaches can be expensive, time-consuming, esthetically compromising, and unsatisfactory when the fracture line is deep below the gingiva. Our presentation will discuss the treatment options for such cases and introduce the concept of intentional replantation as an option to manage complicated crown-root fractures in young permanent anterior teeth.
Authors:
Zhengyan Wang; Michelle Heffernan; William F Vann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Dental traumatology : official publication of International Association for Dental Traumatology     Volume:  24     ISSN:  1600-4469     ISO Abbreviation:  Dent Traumatol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-04     Completed Date:  2008-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091305     Medline TA:  Dent Traumatol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  100-3     Citation Subset:  D    
Affiliation:
Department of Pediatric Dentistry, University of North Carolina, Chapel Hill, NC 27599-7450, USA. wangz@dentistry.unc.edu
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MeSH Terms
Descriptor/Qualifier:
Child
Composite Resins
Dental Restoration, Permanent / methods
Female
Follow-Up Studies
Gutta-Percha / therapeutic use
Humans
Incisor / injuries*
Maxilla
Root Canal Filling Materials / therapeutic use
Root Canal Therapy
Splints
Tooth Crown / injuries*
Tooth Fractures / therapy*
Tooth Replantation*
Tooth Root / injuries*
Chemical
Reg. No./Substance:
0/Composite Resins; 0/Root Canal Filling Materials; 9000-32-2/Gutta-Percha

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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