Journal of Dentistry of Tehran University of Medical Sciences 2018. 15(3):193-196.

Multidisciplinary Management of Complicated Crown-Root Fracture: A Case Report
Zahra Enshaei, Maede Ghasemi


The management of traumatic dental injuries as well as crown-root fractures is always challenging in everyday general dental practice. A number of treatment modalities are available for crown-root fractures, depending on the position, extent and severity of the fracture. The aim of this case report was to describe a clinical case of rehabilitation of a complicated crown-root fracture of the maxillary left central incisor, successfully treated by a multidisciplinary approach including orthodontic extrusion. The final result was esthetically pleasant and periodontally sound in the follow ups.


Tooth Injuries; Tooth Fractures; Orthodontic Extrusion

Full Text:



- Andersson L. Epidemiology of traumatic dental injuries. J Endod. 2013 Mar;39(3 Suppl):S2-5.

- Ravindranath S, Andiesta NS, Hasan ZA, Chong JA, Pau A. Patterns of dental trauma in children presenting in hospital based dental clinics: A review. Dental Health: Current Research. 2016 Jul;2016.

- Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. Guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Pediatr Dent. 2017 Sep;39(6):401-11.

- Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth. Oxford, UK, Ames, Iowa, Blackwell Munksgaard, 2007:684-90.

- Yuan LT, Duan DM, Tan L, Wang XJ, Wu LA. Treatment for a complicated crown‐root fracture with intentional replantation: a case report with a 3.5‐year follow up. Dent Traumatol. 2013 Dec;29(6):474-8.

- Acharya N, Samant PS, Gautam V, Singh O, Halwai H. Multidisciplinary approach in the rehabilitation of complicated crown-root fracture: A Case report. Orthod J Nepal. 2015 Nov;4(2):51-5.

- Mese M, Akcay M, Yasa B, Akcay H. Multidisciplinary management of complicated crown-root fracture of an anterior tooth undergoing apexification. Case Rep Dent. 2015;2015:521013.

- Heithersay G, Moule A. Anterior subgingival fractures: a review of treatment alternatives. Aust Dent J. 1982 Dec;27(6):368-76.

- Aggarwal V, Logani A, Shah N. Complicated crown fractures–management and treatment options. Int Endod J. 2009 Aug;42(8):740-53.

- Bajaj P, Chordiya R, Rudagi K, Patil N. Multidisciplinary approach to the management of complicated crown-root fracture: a case report. J Int Oral Health 2015 Apr;7(4):88.

- Padbury A, Eber R, Wang HL. Interactions between the gingiva and the margin of restorations. J Clin Periodontol. 2003 May;30(5):379-85.

- Bach N, Baylard JF, Voyer R. Orthodontic extrusion: periodontal considerations and applications. J Can Dent Assoc. 2004 Dec;70(11):775-80.

- Roeters J, Bressers JP. The combination of a surgical and adhesive restorative approach to treat a deep crown-root fracture: A case report. Quint Int. 2002 Mar;33(3).

- Padbury A, Eber R, Wang HL. Interactions between the gingiva and the margin of restorations. J Clin Periodontol. 2003 May;30(5):379-85.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.