Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period

Emergency treatment of 11- years-old female patient, presenting a complicated crown root fracture, which simultaneously presented oblique root fracture in the maxillary right central incisor. In order to expose the subgingival extension of the fracture, it was necessary to raise a mucoperiosteal fla...

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Autores principales:	Díaz M,Jaime, Hope L,Bárbara, Jans M,Alejandra
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2012
Materias:	Crown-root fracture
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2012000100004
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spelling	oai:scielo:S0718-381X20120001000042012-06-19Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up PeriodDíaz M,JaimeHope L,BárbaraJans M,Alejandra Crown-root fracture Emergency treatment of 11- years-old female patient, presenting a complicated crown root fracture, which simultaneously presented oblique root fracture in the maxillary right central incisor. In order to expose the subgingival extension of the fracture, it was necessary to raise a mucoperiosteal flap. In light of pulp exposure, and prior to the repositioning of fragments with adhesive composite resin technique, Cvek pulp therapy was performed . Despite the existence of a 4-5 mm subgingival extension, neither surgical nor orthodontic extrusion of the root fragment was performed due to the presence of intra-alveolar oblique root fracture without displacement. Minimally invasive and conservative clinical management is basic, namely due to the great capacity of pulp healing in young permanent teeth, the absence of displacement between fragments of root fracture, and great capacity of adhesion and tensile strength of current adhesive systems. Clinical and radiographic controls over the first 18 months have shown an excellent pulp response, with some minor periodontal complications in relation to the biological width invasion and an adequate functional and aesthetic result.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.6 n.1 20122012-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2012000100004en10.4067/S0718-381X2012000100004
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Crown-root fracture
spellingShingle	Crown-root fracture Díaz M,Jaime Hope L,Bárbara Jans M,Alejandra Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period
description	Emergency treatment of 11- years-old female patient, presenting a complicated crown root fracture, which simultaneously presented oblique root fracture in the maxillary right central incisor. In order to expose the subgingival extension of the fracture, it was necessary to raise a mucoperiosteal flap. In light of pulp exposure, and prior to the repositioning of fragments with adhesive composite resin technique, Cvek pulp therapy was performed . Despite the existence of a 4-5 mm subgingival extension, neither surgical nor orthodontic extrusion of the root fragment was performed due to the presence of intra-alveolar oblique root fracture without displacement. Minimally invasive and conservative clinical management is basic, namely due to the great capacity of pulp healing in young permanent teeth, the absence of displacement between fragments of root fracture, and great capacity of adhesion and tensile strength of current adhesive systems. Clinical and radiographic controls over the first 18 months have shown an excellent pulp response, with some minor periodontal complications in relation to the biological width invasion and an adequate functional and aesthetic result.
author	Díaz M,Jaime Hope L,Bárbara Jans M,Alejandra
author_facet	Díaz M,Jaime Hope L,Bárbara Jans M,Alejandra
author_sort	Díaz M,Jaime
title	Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period
title_short	Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period
title_full	Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period
title_fullStr	Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period
title_full_unstemmed	Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period
title_sort	conservative and aesthetic emergency management in adolescent with complex crown-root fracture and simultaneous oblique root fracture in upper maxillary central incisor: clinical outcome after 18 months follow-up period
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2012000100004
work_keys_str_mv	AT diazmjaime conservativeandaestheticemergencymanagementinadolescentwithcomplexcrownrootfractureandsimultaneousobliquerootfractureinuppermaxillarycentralincisorclinicaloutcomeafter18monthsfollowupperiod AT hopelbarbara conservativeandaestheticemergencymanagementinadolescentwithcomplexcrownrootfractureandsimultaneousobliquerootfractureinuppermaxillarycentralincisorclinicaloutcomeafter18monthsfollowupperiod AT jansmalejandra conservativeandaestheticemergencymanagementinadolescentwithcomplexcrownrootfractureandsimultaneousobliquerootfractureinuppermaxillarycentralincisorclinicaloutcomeafter18monthsfollowupperiod
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Conservative and Aesthetic Emergency Management in Adolescent with Complex Crown-Root Fracture and Simultaneous Oblique Root Fracture in Upper Maxillary Central Incisor: Clinical Outcome after 18 Months Follow-up Period

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