Management of complicated crown-root fracture in a paediatric patient: A case report

Abstract

Background: A crown-root fracture is defined as one that involves the cementum, dentin, and enamel. It is becoming more and more appealing to rebuild and preserve teeth with these types of fractures rather than extracting them and utilizing prosthesis. Surgical extrusion is one such easily accessible treatment technique. Objective: The aim of this case report is to evaluate surgical extrusion as a treatment modality for management of complicated crown–root fractures in children. Method: In order to minimize injury to the marginal alveolar bone, the tooth was luxated and extruded to the proper position before being splinted. The fractured buccal cortical plate fragment was removed, crushed, and used as an autogenous bone graft. After this root canal treatment was performed followed by cementation of metal post, and acrylic crown placement. Result: The teeth that received treatment were performing well after the procedure, with both mobility and probing depths staying within the expected limits. X-rays indicated a healthy periodontal ligament space and the formation of lamina dura around the extruded roots. There were no signs of root resorption or considerable loss of marginal bone. Conclusion: This technique might be a promising alternative treatment option especially in the anterior zone to avoid functional or aesthetic complications.