Multidisciplinary approach of a crown-root fracture using intentional replantation: a case report.
Crown-root fractures are complex traumatic injuries that require multidisciplinary management and afford uncertain prognosis. The purpose of this clinical article was to report the case of crown-root fracture where a multidisciplinary approach was successfully executed. A 10-year-old male patient who suffered a complicated crown-root fracture on a permanent maxillary central incisor was treated using an intentional 180°-rotation replantation technique, followed by endodontic therapy and restoration with resin composite. Two years after the initial treatment, the case was stable and the tooth was restored with a resin core and a ceramic crown. This article describes how adequate multidisciplinary treatment planning, coordination, and execution are necessary for similar cases to be properly managed. It can be concluded that the intentional replantation with 180°-rotation allowed a more conservative approach, showing, in this case, a clinical success without resorption.
Graduate Dental Program, Positivo University, Curitiba, Parana, Brazil.
Tatiana Zaina
TZ
Bindo
Eduardo Christiano Caregnatto
EC
de Morais
Edson Alves
EA
de Campos
Carla Castiglia
CC
Gonzaga
Gisele Maria
GM
Correr
Flares
F
Baratto-Filho
D002648:Child; D003442:Crowns; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008437:Maxilla; D010348:Patient Care Team; D011176:Post and Core Technique; D012390:Root Canal Therapy; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000628:therapy*; D014090:Tooth Replantation; D014092:Tooth Root / Q000293:injuries