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Indian Journal of Mednodent and Allied Sciences
Year : 2015, Volume : 3, Issue : 2
First page : ( 135) Last page : ( 139)
Print ISSN : 2347-6192. Online ISSN : 2347-6206.
Article DOI : 10.5958/2347-6206.2015.00027.8

Management of Crown Root Fracture by Multi-disciplinary Approach-A Case Report

Ramarao M.S.1, Kumar M. Naveen2,,*, Reddy Anwesh3, Janavitha M.4, Karthik K.5, Kirankumar C.H.6, Sekhar V.S.S.K.7

1Professor and Head, Department of Conservative Dentistry, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

2Reader, Department of Oral Pathology, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

3Department of Periodontics, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

4Senior Lecturer, Department of Conservative Dentistry, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

5Senior Lecturer, Lecturer, Department of Oral Pathology, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

6Post Graduate Student, Department of Conservative Dentistry, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

7Post Graduate Student, Department of Conservative Dentistry, Sree Sai Dental College And Research Institute, Chapuram, Srikakulam-532001, Andhra Pradesh, India

*Corresponding author email id: naveen_motupalli@yahoo.com

Online published on 16 October, 2015.

Abstract

Trauma to anterior tooth is a relatively common event. Crown-root fractures are often difficult to treat and are time consuming, which causes psychological trauma to the patient during that period. Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patient's confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable. Reattachment is an option for restoration of anterior teeth compared to other artificial replacements because of its appearance as natural. This method is favourable when the fractured fragment is intact and available. Utilization of pulp space for retention of fragment is achieved by the insertion of a dentine bonding post. This case report describes a case of tooth reattachment after trauma in which the pulp space is utilized to bond a fibre-reinforced post for retention after periodontal tissue management.

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Keywords

Anterior crown fracture, Reattachment, Post, Composite, Trauma, Fracture.

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