title: Treatment of a crown-root fracture with concomitant root fracture.
abstract: The aim of this case report was to present a treatment strategy for severely injured teeth in children and adolescents by using periodontal surgery and adhesive techniques. A 16-year-old boy presented after a severe bicycle accident. A radiograph revealed a root fracture with connective tissue healing and displacement. Clinically, a crown-root fracture as well as an uncomplicated crown fracture of the same fragment was obvious. The root canal was prepared and filled with gutta-percha to the fracture line. A full periodontal flap was performed, and the crown-root fragment was adhesively fixed. The flap was tightly apposed, and the missing mesial edge of the tooth was restored with composite resin. A control radiograph showed a neatly fixed coronal fragment and sufficient root canal filling. The amount of work required proved to be acceptable for both patient and clinician--even if an implantation might have to be considered when the patient is full-grown--because of the longevity of the procedure.
authors.affiliation: Department of Operative Dentistry and Periodontology, Albert-Ludwigs-University of Freiburg, Freiburg, Germany. stefanie.feierabend@uniklinik-freiburg.de
authors.forename: Stefanie
authors.initials: S
authors.lastname: Feierabend
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Jockel-Schneider
authors.forename: Bernd
authors.initials: B
authors.lastname: Klaiber
mesh_terms: D000293:Adolescent; D001642:Bicycling / Q000293:injuries; D001840:Dental Bonding; D003793:Dental Restoration, Permanent / Q000379:methods*; D003794:Dental Restoration, Temporary / Q000379:methods; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008437:Maxilla; D010519:Periodontium / Q000601:surgery; D012390:Root Canal Therapy / Q000379:methods*; D055116:Self-Curing of Dental Resins; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000601:surgery / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries*