Management of crown-root fracture tooth by intra-alveolar transplantation with 180-degree rotation and suture fixation.
Teeth with traumatic crown-root fractures extending subgingivally and involving the entire width of the tooth may have problems in endodontic isolation, periodontal maintenance, and restoration. A number of techniques, such as crown lengthening, and orthodontic or surgical extrusion, have been described for treatment of crown-root fractures. However, all of these techniques have limitations in terms of the extended time required for treatment, cost, and esthetic considerations. Intra-alveolar transplantation is an alternative treatment option in the management of complicated crown-root fractures. We describe a case of intra-alveolar transplantation with 180( degrees ) rotation and suture fixation. At 1-year follow-up, the replanted tooth has normal function and no obvious inflammatory root resorption on radiographic examination.
Chung
Ming-Pang
MP
Department of Operative Dentistry and Endodontics, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
Wang
Su-Shin
SS
Chen
Chih-Ping
CP
Shieh
Yi-Shing
YS
D000328:Adult; D006801:Humans; D007180:Incisor / Q000293:injuries* / Q000601:surgery; D008297:Male; D010511:Periodontal Dressings; D011670:Pulpectomy; D012390:Root Canal Therapy; D013536:Suture Techniques; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000601:surgery*; D014090:Tooth Replantation; D014092:Tooth Root / Q000293:injuries