Multidisciplinary approach for crown-root fracture treatment after trauma: case report

• Autor(a) principal: Andriolo, Gisele Cristina Galdeano [UNESP]
• Data de Publicação: 2013
• Outros Autores: Pedrini, Denise [UNESP], Hamanaka, Elizane Ferreira [UNESP], Luvizuto, Eloá Rodrigues [UNESP], Panzarini, Sônia Regina [UNESP], Sonoda, Celso Koogi [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.14295/bds.2013.v16i2.875; http://hdl.handle.net/11449/133146
• topic: Crown-root fracture; Permanent tooth; Tooth injuries; Fratura corono-radicular; Dentes permanentes; Traumatismos dentários

The development of an accurate diagnosis and appropriate treatment plan can be a complex task, especially in cases of dentoalveolar trauma. The authors present a case report of crown-root fracture caused by trauma and highlight the importance of a multidisciplinary approach for the treatment. An eighteen year-old boy had a bicycle accident resulting in dental trauma. The upper right first molar showed a complicated crownroot fracture and the lower left second pre-molar showed an uncomplicated crown-root fracture. Endodontic treatment, controlled tooth extrusion, periodontal surgery for recovery of biological width, and porcelain crown and onlay restorations were performed. Esthetic and functional results were achieved. At the two-year follow-up it was observed that the tooth/onlay interface of the upper right first molar was stained and the onlay of the left lower second pre-molar was fractured. Therefore, the interface stained was repaired and a porcelain crown was made for the lower second premolar. The clinical case presented herein leads to the conclusion that a multidisciplinary treatment plan is extremely important for a proper resolution in cases of dentoalveolar trauma.