Management of Crown-Root Fracture of a Maxillary Central Incisor in a 13-Year-Old Boy by Orthodontic Forced Eruption: A Case Report

Shahram Mosharrafian, Mojgan Kargar^*, Fateme Almasi & Mohammad Hassan Hamrah

Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Dr. Mojgan Kargar, Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Keywords: Crown-Root Fracture; Maxillary Central Incisor; Orthodontic Forced Eruption

Abstract

Dental trauma causing crown-root fracture is among the most challenging types of dental traumas in terms of management, which often involves maxillary permanent incisors prior to completion of their root development and can result in tooth loss. Management of this type of tooth fracture often requires a multidisciplinary approach with the cooperation of an endodontist, a periodontist, a pediatric dentist and/or an orthodontist. The primary goal of treatment in such patients should be preservation of the tooth and reinstatement of dental esthetics and function. This case report describes management of a challenging case of complex crown-root fracture of a maxillary central incisor in a 13-year-old boy, which was performed by endodontic treatment, orthodontic extrusion and crown lengthening surgery followed by post space preparation in the root canal and crown build-up with composite resin. The patient was followed up for 6 months in terms of periodontal health, esthetics and function, with satisfactory results.

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