S
upporting
Y
our
P
ractice
37
Volume1 Issue3
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Abstract
Root fracture injuries affect 0.5%–7%of permanent teeth. Although cervical root fractures are
less frequent in children, their serious consequences and poor prognosismay lead to tooth
loss. In this case presentation, we discuss a treatment approach chosen to preserve alveolar
bonegrowth followingacervical root fracture inan8-year-oldboy.
CaseReport
An8-year-oldboywas referred to thepediatricdentistry clinicwitha fracturedmaxillary right
central incisor (tooth 11). The traumahadoccurred, aweek earlierwhenhehad collidedwith
a friend at school. His medical history was non-contributory. Clinical examination revealed
excessivemobility of the tooth, whichwas also tender topalpation. The neighbouring teeth
were free of any symptom of trauma (
Fig. 1
). Following radiographic examination, the injury
wasdiagnosedas cervical root fracture.
The treatmentplancomprisedextractionof thecoronalpartof tooth11,endodontic treatment
(apexification) of the apical part followedby orthodontic extrusion and final restorationwith
crown reattachment. However, the treatment plan was abandoned after inspection of the
alveolar socket revealed that the fracture line was located deeply (about 4mm) under the
gingivalmargin (
Fig. 2
). Therewere2availableoptions: root submergence to facilitatealveolar
bone growth or extraction of the root and fabrication of a partial prosthesis until definitive
treatment could be carried out when the patient was older. These options were discussed
with theparents,whodecided tocontinuewithout extraction.
a
PreservingAlveolar BoneGrowthFollowingCervical
Root Fracture:
ACASEREPORT
The following is an abstract of a research article published in the
‘Clinical Reports’ section of
jcda.ca
—CDA’s online, open access
scholarly publication that features articles indexed inMedline,
Journal CitationReports and ScienceCitation Index.
Clinical Summaries
Tülin
İ
leriKeçeli
DDS,PhD
BurakKutlu
DDS,PhD
H.CemGungor
DDS,PhD
➊
➋
➌
➊
Preoperative frontal view
of thepatient showing
fracture in tooth11, but no
damage toadjacent teeth.
➋
Followingextractionof
thecoronal fragment
,
clinical examination
revealedadeep fracture
line, about 4mmbelow the
gingivalmargin.
➌
Partial prosthesis
inplace
following treatment.
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