Treatment of a crown-root fracture with intentional replantation - case report with 16-year follow-up.
OBJECTIVE
To report the intentional replantation of a maxillary central incisor with a crown-root fracture.


CONCLUSIONS
An 11-year-old girl was referred to a paediatric clinic with an extensive crown-root fracture of the maxillary right central incisor (tooth 11) with pulp exposure. Radiographs revealed that tooth 11 had a periapical radiolucent lesion, which suggested pulpal necrosis. The treatment option chosen was planned extraction and immediate intentional replantation of tooth 11 in a more coronal position. Sixteen years after treatment, tooth 11 was aesthetically and functionally sound, suggesting that the treatment was successful.


CONCLUSIONS
Intentional replantation may be considered as a treatment option for teeth with crown-root fractures.
Department of Pathology and Dental Clinic, Universidade Federal do Piauí, Teresina, PI, Brazil. mouraiso@uol.com.br
L F A D
LF
Moura
M D M
MD
Lima
M S
MS
Moura
P V
PV
Carvalho
J C P
JC
Cravinhos
C M R S
CM
Carvalho
D002648:Child; D003790:Dental Pulp Necrosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries; D008437:Maxilla; D010516:Periodontal Splints; D012390:Root Canal Therapy / Q000379:methods*; D012391:Root Resorption / Q000601:surgery*; D019228:Tooth Crown / Q000293:injuries; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000601:surgery*; D014090:Tooth Replantation; D014092:Tooth Root / Q000293:injuries