Multidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up

Tiankai Di; Xiyu Zhang; Haohan Yu; Yang Yang; Lulu Wang; Yujiang Chen

doi:10.1186/s12903-024-05281-8

BMC Oral Health (Dec 2024)

Multidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up

Tiankai Di,
Xiyu Zhang,
Haohan Yu,
Yang Yang,
Lulu Wang,
Yujiang Chen

Affiliations

Tiankai Di: Department of Pediatric Dentistry, State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University
Xiyu Zhang: Department of Periodontology, State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University
Haohan Yu: Department of Prosthodontics, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, School of Stomatology, The Fourth Military Medical University
Yang Yang: Department of Periodontology, State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University
Lulu Wang: Department of Pediatric Dentistry, State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University
Yujiang Chen: Department of Pediatric Dentistry, State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, School of Stomatology, The Fourth Military Medical University

DOI: https://doi.org/10.1186/s12903-024-05281-8
Journal volume & issue: Vol. 24, no. 1
pp. 1 – 7

Abstract

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Abstract Background Pediatric anterior teeth complex crown-root fractures has high incidence and pose greater treatment challenges. Dynamic tooth development increases risks for orthodontic, periodontal, and restorative treatments. Case description The authors present a case of a 12-year-old boy with a complex crown-root fracture in the right maxillary central incisor. Initial treatment involved following IADT guidelines and extracting the fractured crown for orthodontic and restorative care. Collaboration among periodontists, orthodontists, and restorative dentists facilitated orthodontic traction and resin restoration, along with subgingival restoration surface treatment, improving periodontal health. Over 8 years, stable tooth and periodontal health with satisfactory aesthetics were observed, without inflammation or pain. Conclusion Follow-up of 8 years showed favorable prognosis for the affected tooth, highlighting the essential role of periodontists and consideration of periodontal health in managing complex crown-root fractures in children.

Published in BMC Oral Health

ISSN: 1472-6831 (Online)
Publisher: BMC
Country of publisher: United Kingdom
LCC subjects: Medicine: Dentistry
Website: http://bmcoralhealth.biomedcentral.com

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