Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases

Dental traumatic injuries most commonly occur in the primary and mixed dentition, but vertical complicated crown-root fractures are rarely seen in children. Clinical and radiographic examination of these injuries helps in accurate diagnosis and management. According to the International Association...

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Main Authors: Richa Kumari, Neeraj Kumar, Krishan Gauba
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2021-01-01
Series:Frontiers in Dentistry
Subjects:
Online Access:https://fid.tums.ac.ir/index.php/fid/article/view/3522
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author Richa Kumari
Neeraj Kumar
Krishan Gauba
author_facet Richa Kumari
Neeraj Kumar
Krishan Gauba
author_sort Richa Kumari
collection DOAJ
description Dental traumatic injuries most commonly occur in the primary and mixed dentition, but vertical complicated crown-root fractures are rarely seen in children. Clinical and radiographic examination of these injuries helps in accurate diagnosis and management. According to the International Association of Dental Traumatology guidelines, treatment usually involves extraction followed by placement of a space maintainer. Cases of complicated crown and root fracture in primary posterior teeth are often unnoticed by the clinician, at the time of injury. Two such patients are presented, who reported symptoms a few weeks after their accident. They were managed conservatively by initial stabilization with stainless steel crowns, followed by root canal therapy. This report highlights the need for referral to specialists and emphasizes the importance of conservative management of primary teeth to maintain functional demands.
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spelling doaj.art-54649604be4e4abb86d365850a7906ab2022-12-22T04:07:26ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2021-01-011710.18502/fid.v17i39.5292Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two CasesRicha Kumari0Neeraj Kumar1Krishan Gauba2Unit of Paedodontics and Preventive Dentistry, Oral Health Sciences Centre, Post graduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Dentistry, Government Medical College, Khandwa, Madhya Pradesh, IndiaUnit of Paedodontics and Preventive Dentistry, Oral Health Sciences Centre, Post graduate Institute of Medical Education and Research, Chandigarh, IndiaDental traumatic injuries most commonly occur in the primary and mixed dentition, but vertical complicated crown-root fractures are rarely seen in children. Clinical and radiographic examination of these injuries helps in accurate diagnosis and management. According to the International Association of Dental Traumatology guidelines, treatment usually involves extraction followed by placement of a space maintainer. Cases of complicated crown and root fracture in primary posterior teeth are often unnoticed by the clinician, at the time of injury. Two such patients are presented, who reported symptoms a few weeks after their accident. They were managed conservatively by initial stabilization with stainless steel crowns, followed by root canal therapy. This report highlights the need for referral to specialists and emphasizes the importance of conservative management of primary teeth to maintain functional demands.https://fid.tums.ac.ir/index.php/fid/article/view/3522CrownsPulpectomyWounds and InjuriesTooth FracturesToothDeciduous
spellingShingle Richa Kumari
Neeraj Kumar
Krishan Gauba
Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases
Frontiers in Dentistry
Crowns
Pulpectomy
Wounds and Injuries
Tooth Fractures
Tooth
Deciduous
title Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases
title_full Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases
title_fullStr Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases
title_full_unstemmed Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases
title_short Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases
title_sort endodontic management of complicated vertical crown root fracture in deciduous molars report of two cases
topic Crowns
Pulpectomy
Wounds and Injuries
Tooth Fractures
Tooth
Deciduous
url https://fid.tums.ac.ir/index.php/fid/article/view/3522
work_keys_str_mv AT richakumari endodonticmanagementofcomplicatedverticalcrownrootfractureindeciduousmolarsreportoftwocases
AT neerajkumar endodonticmanagementofcomplicatedverticalcrownrootfractureindeciduousmolarsreportoftwocases
AT krishangauba endodonticmanagementofcomplicatedverticalcrownrootfractureindeciduousmolarsreportoftwocases