Case Report
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Multidisciplinary Treatment of Left Maxillary Central Tooth with Complicated Crown Root Fracture: Case Report

Year 2025, Volume: 4 Issue: 2, 90 - 98, 10.07.2025

Ayşenur Bulut , Aybüke Karaca Sakallı , Abdulnasır Gürbüz , Oya Bala , Mügem Gürel Ekici

https://doi.org/10.58711/turkishjdentres.vi.1534880

Abstract

Complicated crown fractures are one of the most common traumas in the permanent dentition. It is
particularly common in young adolescents and maxillary anterior incisors. It is very important to provide aesthetic restorations with a long clinical life with correct diagnosis, indication and early treatment in traumatised teeth. In this case report, we aimed to treat a traumatised central tooth with a multidisciplinary approach. The patient had a complicated crown-root fracture of the maxillary left central tooth following trauma. The tooth was devitalised and the fracture line was seen to extend into the subgingival region. After endodontic and periodontal treatment, the restoration was completed
with fiber-reinforced flowable bulk-fill resin composite and universal nanohybrid resin composite.

Keywords

Biomimetic treatment Endodontic Composite resin Trauma

References

  • 1. Glendor U, Marcenes W, Andreasen JO. Classification, epidemiology and etiology. Textbook and color atlas of traumatic injuries to the teeth. 2007; 4:217-54.
  • 2. Rafter M. Apexification: A Review. Dent Traumatol. 2005; 21:1-8.
  • 3. Andreasen JO, Andreasen FM, Andersson L. Crownroot fractures. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell. 2007; 314-36.
  • 4. Altun C, Cehreli ZC, Güven G, Acikel C. Traumatic intrusion of primary teeth and its effects on the permanent successors: a clinical follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107:493-98.
  • 5. Cvek M, Tsilingaridis G, Andreasen JO. Survival of 534 incisors after intra‐alveolar root fracture in patients aged 7–17 years. Dent Traumatol. 2008; 24:379-87.
  • 6. Welbury RR, Whitworth JM. Traumatic injuries to the teeth: Paediatric Dentistry. 3rd ed. New York: Oxford University Press Inc, 2005; 257-95.
  • 7. Fuks AB, Cosack A, Klein H, Eidelman E. Partial pulpotomy as a treatment alternative for exposed pulps in crownfractured permanent incisors. Endod Dent Traumatol. 1987; 3:100-02.
  • 8. Demarco FF, de Moura FR, Tarquinio SB, Lima FG. Reattachment using a fragment from an extracted tooth to treat complicated coronal fracture. Dent Traumatol. 2008; 24:257-61.
  • 9. Adanir N, Ok E, Erdek Y. Re-attachment of subgingivally oblique fractured central incisor using a fiber post. Eur J Dent. 2008; 2:138-41.
  • 10. Sgan‐Cohen HD, Megnagi G, Jacobi Y. Dental trauma and its association with anatomic, behavioral, and social variables among fifth and sixth grade schoolchildren in Jerusalem. Community Dent Oral Epidemiol. 2005; 3:174- 80.
  • 11. Olsburgh, S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol. 2002; 18:103-15.
  • 12. Welbury R, Kinirons M, Day P, Humphreys K, Gregg T. Outcomes for root-fractured permanent incisors: a retrospective study. Pediatr Dent J. 2002; 2:98-102.
  • 13. Alaçam A. Travma nedeniyle oluşan diş yaralanmaları ve tedavileri. Endodonti. Ankara: Özyurt Yayınevi, 2012; 985- 1058.
  • 14. Jagannath-Torvi S, Kala M. Restore the natural-A review and case series report on reattachment. J Clin Exp Dent. 2014; 5:595.
  • 15. Öz İA, Haytaç MC, Toroğlu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol. 2006; 22:48-52.
  • 16. Vilela Maia EA, Baratieri LN, Andrada MAC, Monteiro S, Araujo EM. Tooth fragment reattachment: fundementals of the technique and two case reports. Quintessence Int, 2003; 34:99-107.
  • 17. Cengiz SB, Kocadereli I, Gungor HC, Altay N. Adhesive fragment reattachment after orthodontic extrusion: a case report. Dent Traumatol. 2005; 21:60-4
  • 18. Chu FCS, Yim TM, Wei S. Clinical considerations for reattachment of tooth fragments. Quintessence Int. 2000; 31:385-91.
  • 19. Badami V, Reddy SK. Treatment of complicated crownroot fracture in a single visit by means of rebonding. J Am Dent Assoc. 2011; 6:646-50.
  • 20. Santos Jr GC, Santos Jr M, Rizkalla AS, Madani D, El- Mowafy O. Overview of Cerec CAD/CAM chairside system. Gen Dent. 2013; 1: 36-40.
  • 21. Borgia E, Baron R, Borgia JL. Quality and survival of direct light‐activated composite resin restorations in posterior teeth: a 5‐to 20‐year retrospective longitudinal study. J Prosthodont. 2019; 28:195-203.
  • 22. Huang NC, Bottino MC, Levon JA, Chu TMG. The Effect of Polymerization Methods and Fiber Types on the Mechanical Behavior of Fiber‐Reinforced Resin‐Based Composites. J Prosthodont. 2017; 26:230-37.
  • 23. Li X, Liu W, Sun L, Aifantis KE, Yu B, Fan Y, Watari F. Resin composites reinforced by nanoscaled fibers or tubes for dental regeneration. Biomed Res Int. 2014; 1:1-13.
  • 24. Tanner J, Tolvanen M, Garoushi S, Säilynoja E. Clinical evaluation of fiber-reinforced composite restorations in posterior teeth-results of 2.5 year follow-up. Open Dent J. 2018; 12:476.
  • 25. Wang T, Matinlinna JP, Burrow MF, Ahmed KE. The biocompatibility of glass-fibre reinforced composites- A systematic review. J Prosthodont Res. 2021; 65:273-83.
  • 26. Soares LM, Razaghy M, Magne P. Optimization of large MOD restorations: Composite resin inlays vs. short fiberreinforced direct restorations. Dent Mater. 2018; 34: 587-97.
  • 27. Attik N, Colon P, Gauthier R, Chevalier C, Grosgogeat B, Abouelleil H. Comparison of physical and biological properties of a flowable fiber reinforced and bulk filling composites. Dent Mater. 2022; 38:19-30.
  • 28. Bodrumlu E, Dinger E. Komplike kron kök kırığının restore edilmesinde yeni bir yaklaşım. Atatürk Üni Diş Hek Fak Derg. 2020; 30: 654-658.
  • 29. Uzel ÖS, Ayna B. Farklı Fiberle Güçlendirilmiş Kompozit Rezinler ile Tedavi Edilen Kök Kanal Tedavili Maksiller Kesici Dişlerde Oluşan Stres Dağılımının Sonlu Elemanlar Analizi ile Değerlendirilmesi. HRU Int J Dent Oral Res. 2023; 3: 91-98.
  • 30. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth: John Wiley & Sons, 2018: 957-961.
  • 31. Ravn J. Dental injuries in Copenhagen schoolchildren, school years 1967-1972. Communıty Dent Oral Epidemiol. 1974; 2:231-45.

Komplike Kron-Kök Kırığı Olan Üst Sol Santral Dişin Multidisipliner Tedavisi: Vaka Raporu

Year 2025, Volume: 4 Issue: 2, 90 - 98, 10.07.2025

Ayşenur Bulut , Aybüke Karaca Sakallı , Abdulnasır Gürbüz , Oya Bala , Mügem Gürel Ekici

https://doi.org/10.58711/turkishjdentres.vi.1534880

Abstract

Daimi dişlenme sürecinde en sık görülen travmalardan birisi komplike kron kırıklarıdır. Özellikle
genç ergen bireylerde ve maksiller ön keser dişlerde görülür. Travmaya uğramış dişlerde doğru teşhis,
endikasyon ve erken tedavi ile uzun klinik ömre sahip estetik restorasyonların sağlanması oldukça önemlidir. Bu olgu sunumunda travmaya uğramış santral dişin multidisipliner bir yaklaşım ile tedavisi amaçlanmıştır. Travma sonrası üst sol santral dişinde komplike kronkök kırığı olan hastanın, dişinin devital olduğu ve kırık hattının subgingival bölgeye ilerlediği görüldü. Hastanın endodontik ve periodontal tedavisinin ardından restorasyon, fiber ile güçlendirilmiş akışkan bulk-fill rezin kompozit ve üniversal nanohibrit rezin kompozit ile tamamlandı.

Keywords

Biomimetik tedavi Endodonti Kompozit rezin Travma

References

  • 1. Glendor U, Marcenes W, Andreasen JO. Classification, epidemiology and etiology. Textbook and color atlas of traumatic injuries to the teeth. 2007; 4:217-54.
  • 2. Rafter M. Apexification: A Review. Dent Traumatol. 2005; 21:1-8.
  • 3. Andreasen JO, Andreasen FM, Andersson L. Crownroot fractures. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell. 2007; 314-36.
  • 4. Altun C, Cehreli ZC, Güven G, Acikel C. Traumatic intrusion of primary teeth and its effects on the permanent successors: a clinical follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107:493-98.
  • 5. Cvek M, Tsilingaridis G, Andreasen JO. Survival of 534 incisors after intra‐alveolar root fracture in patients aged 7–17 years. Dent Traumatol. 2008; 24:379-87.
  • 6. Welbury RR, Whitworth JM. Traumatic injuries to the teeth: Paediatric Dentistry. 3rd ed. New York: Oxford University Press Inc, 2005; 257-95.
  • 7. Fuks AB, Cosack A, Klein H, Eidelman E. Partial pulpotomy as a treatment alternative for exposed pulps in crownfractured permanent incisors. Endod Dent Traumatol. 1987; 3:100-02.
  • 8. Demarco FF, de Moura FR, Tarquinio SB, Lima FG. Reattachment using a fragment from an extracted tooth to treat complicated coronal fracture. Dent Traumatol. 2008; 24:257-61.
  • 9. Adanir N, Ok E, Erdek Y. Re-attachment of subgingivally oblique fractured central incisor using a fiber post. Eur J Dent. 2008; 2:138-41.
  • 10. Sgan‐Cohen HD, Megnagi G, Jacobi Y. Dental trauma and its association with anatomic, behavioral, and social variables among fifth and sixth grade schoolchildren in Jerusalem. Community Dent Oral Epidemiol. 2005; 3:174- 80.
  • 11. Olsburgh, S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol. 2002; 18:103-15.
  • 12. Welbury R, Kinirons M, Day P, Humphreys K, Gregg T. Outcomes for root-fractured permanent incisors: a retrospective study. Pediatr Dent J. 2002; 2:98-102.
  • 13. Alaçam A. Travma nedeniyle oluşan diş yaralanmaları ve tedavileri. Endodonti. Ankara: Özyurt Yayınevi, 2012; 985- 1058.
  • 14. Jagannath-Torvi S, Kala M. Restore the natural-A review and case series report on reattachment. J Clin Exp Dent. 2014; 5:595.
  • 15. Öz İA, Haytaç MC, Toroğlu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol. 2006; 22:48-52.
  • 16. Vilela Maia EA, Baratieri LN, Andrada MAC, Monteiro S, Araujo EM. Tooth fragment reattachment: fundementals of the technique and two case reports. Quintessence Int, 2003; 34:99-107.
  • 17. Cengiz SB, Kocadereli I, Gungor HC, Altay N. Adhesive fragment reattachment after orthodontic extrusion: a case report. Dent Traumatol. 2005; 21:60-4
  • 18. Chu FCS, Yim TM, Wei S. Clinical considerations for reattachment of tooth fragments. Quintessence Int. 2000; 31:385-91.
  • 19. Badami V, Reddy SK. Treatment of complicated crownroot fracture in a single visit by means of rebonding. J Am Dent Assoc. 2011; 6:646-50.
  • 20. Santos Jr GC, Santos Jr M, Rizkalla AS, Madani D, El- Mowafy O. Overview of Cerec CAD/CAM chairside system. Gen Dent. 2013; 1: 36-40.
  • 21. Borgia E, Baron R, Borgia JL. Quality and survival of direct light‐activated composite resin restorations in posterior teeth: a 5‐to 20‐year retrospective longitudinal study. J Prosthodont. 2019; 28:195-203.
  • 22. Huang NC, Bottino MC, Levon JA, Chu TMG. The Effect of Polymerization Methods and Fiber Types on the Mechanical Behavior of Fiber‐Reinforced Resin‐Based Composites. J Prosthodont. 2017; 26:230-37.
  • 23. Li X, Liu W, Sun L, Aifantis KE, Yu B, Fan Y, Watari F. Resin composites reinforced by nanoscaled fibers or tubes for dental regeneration. Biomed Res Int. 2014; 1:1-13.
  • 24. Tanner J, Tolvanen M, Garoushi S, Säilynoja E. Clinical evaluation of fiber-reinforced composite restorations in posterior teeth-results of 2.5 year follow-up. Open Dent J. 2018; 12:476.
  • 25. Wang T, Matinlinna JP, Burrow MF, Ahmed KE. The biocompatibility of glass-fibre reinforced composites- A systematic review. J Prosthodont Res. 2021; 65:273-83.
  • 26. Soares LM, Razaghy M, Magne P. Optimization of large MOD restorations: Composite resin inlays vs. short fiberreinforced direct restorations. Dent Mater. 2018; 34: 587-97.
  • 27. Attik N, Colon P, Gauthier R, Chevalier C, Grosgogeat B, Abouelleil H. Comparison of physical and biological properties of a flowable fiber reinforced and bulk filling composites. Dent Mater. 2022; 38:19-30.
  • 28. Bodrumlu E, Dinger E. Komplike kron kök kırığının restore edilmesinde yeni bir yaklaşım. Atatürk Üni Diş Hek Fak Derg. 2020; 30: 654-658.
  • 29. Uzel ÖS, Ayna B. Farklı Fiberle Güçlendirilmiş Kompozit Rezinler ile Tedavi Edilen Kök Kanal Tedavili Maksiller Kesici Dişlerde Oluşan Stres Dağılımının Sonlu Elemanlar Analizi ile Değerlendirilmesi. HRU Int J Dent Oral Res. 2023; 3: 91-98.
  • 30. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth: John Wiley & Sons, 2018: 957-961.
  • 31. Ravn J. Dental injuries in Copenhagen schoolchildren, school years 1967-1972. Communıty Dent Oral Epidemiol. 1974; 2:231-45.
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Endodontics, Periodontics, Restorative Dentistry
Journal Section Case Reports
Authors

Ayşenur Bulut 0000-0002-0371-4565

Aybüke Karaca Sakallı 0000-0001-5472-0781

Abdulnasır Gürbüz 0000-0002-5340-2949

Oya Bala 0000-0001-5446-2583

Mügem Gürel Ekici 0000-0002-0694-2141

Publication Date July 10, 2025
Submission Date August 17, 2024
Acceptance Date May 27, 2025
Published in Issue Year 2025 Volume: 4 Issue: 2

Cite

Vancouver Bulut A, Karaca Sakallı A, Gürbüz A, Bala O, Gürel Ekici M. Komplike Kron-Kök Kırığı Olan Üst Sol Santral Dişin Multidisipliner Tedavisi: Vaka Raporu. J Turkish Dent Res. 2025;4(2):90-8.
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