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Journal of Indian Society of Pedodontics and Preventive Dentistry Official publication of Indian Society of Pedodontics and Preventive Dentistry
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 CASE REPORT
Year : 2014  |  Volume : 32  |  Issue : 2  |  Page : 190-194

Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation


1 Department of Pedodontics and Preventive Dentistry, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India
2 Department of Periodontics, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India
3 Department of Pedodontics and Preventive Dentistry, People's Dental Academy, Bhopal, Madhya Pradesh, India
4 Department of Periodontics, Rishi Raj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India

Correspondence Address:
Vinaya Kumar Kulkarni
Department of Pedodontics & Preventive Dentistry, Modern Dental College and Research Centre, Gandhi Nagar, Airport Road, Indore - 453 112, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-4388.131007

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Fractures of multiple permanent anterior teeth can be a traumatic experience for children, with functional, esthetic and psychological aspects. The treatment of complicated crown-root fractures (CRFs) is more challenging when the biologic width is violated. This paper presents a case of 12-year boy with complicated CRF of teeth #12 and #21, and horizontal crown fracture of tooth #11. It was managed by endodontic treatment, mucoperiosteal surgery with osteotomy to visualize the fracture line for fragment reattachment, followed by fiber-post placement and restoration with polycarbonate crowns. Clinical and radiographic evaluation after 6 months was satisfactory with adequate functional and esthetic results.






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