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KMID : 0362720190570110679
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Journal of the Korean Dental Association
2019 Volume.57 No. 11 p.679 ~ p.688
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Surgical extrusion of immature permanent tooth with crown-root fractures: a case report with 36-month follow up
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Jeon Su-Jin
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Abstract
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A 8-year-old patient presented with a crown-root fracture of the maxillary right central incisor with an oblique subgingival fracture line. A multidisciplinary treatment approach including endodontic treatment, surgical extraction and intraalveolar repositioning was used to gain sufficient crown length of the fractured maxillary incisor. The coronally repositioned maxillary right central incisor was stabilized by a resin wire splint. Apexification using MTA was performed. Resin core and direct resin restoration(Cl IV) on fractured teeth was built up. Clinical and radiographic follow-up of the maxillary right central incisor after 36 months showed no signs of root resorption or pathology and acceptable aesthetics and functions were maintained. Surgical extrusion can be considered as a good treatment modality for young patients.
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KEYWORD
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Surgical extrusion, Crown-root fracture, Immature permanent incisor, Apexification
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