title: Multidisciplinary approach for the treatment of a complicated crown-root fracture in a young patient: a case report.
abstract: Crown-root fractures in permanent teeth cause esthetic and functional problems. This paper reports the case of a complicated crown-root fracture in the maxillary right central incisor of a young patient who was treated with a multidisciplinary approach in two phases. A modified Widman flap, root canal therapy, glass fiber post cementation, and adhesive tooth fragment reattachment were performed shortly after an accident. Satisfactory esthetic and functional outcomes were obtained. However, the patient did not attend follow-up visits and returned after 7 years. During this second phase, the clinical and radiographic examination showed stability and adaptation of the fragment and good periodontal health conditions, but crown darkening and a radiolucent image associated with the root apex of the fractured tooth were also observed. The periapical lesion was surgically removed by apicoectomy, and the esthetics were recovered with a direct composite resin veneer on the traumatized tooth.
authors: UNESP-Lay Univ Estadual Paulista, Discipline of Integrated Clinic, Department of Surgery and Integrated Clinic, School of Dentistry of Araçatuba, SP, Brazil.
authors: José Carlos Monteiro
authors: JC
authors: de Castro
authors: Wilson Roberto
authors: WR
authors: Poi
authors: Denise
authors: D
authors: Pedrini
authors: Adelisa Rodolfo Ferreira
authors: AR
authors: Tiveron
authors: Daniela Atili
authors: DA
authors: Brandini
authors: Mara Antônio Monteiro
authors: MA
authors: de Castro
mesh_terms: D001047:Apicoectomy / Q000379:methods; D002484:Cementation / Q000379:methods; D002648:Child; D003188:Composite Resins / Q000737:chemistry; D003764:Dental Materials / Q000737:chemistry; D003793:Dental Restoration, Permanent / Q000379:methods; D003801:Dental Veneers; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D005898:Glass / Q000737:chemistry; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008437:Maxilla; D010348:Patient Care Team; D011176:Post and Core Technique / Q000295:instrumentation; D011842:Radicular Cyst / Q000601:surgery; D019279:Resin Cements / Q000737:chemistry; D012390:Root Canal Therapy / Q000379:methods; D013524:Surgical Flaps; D019228:Tooth Crown / Q000293:injuries*; D014075:Tooth Discoloration / Q000628:therapy; D014082:Tooth Fractures / Q000145:classification / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries*; D016896:Treatment Outcome
chemical_list: D003188:Composite Resins; D003764:Dental Materials; D019279:Resin Cements; C009753:fiberglass