J Korean Acad Pediatr Dent.  2018 Nov;45(4):521-527. 10.5933/JKAPD.2018.45.4.521.

One-visit Apexification Using MTA and Reattachment of a Crown-root Fractured Tooth with Severe Coronal Damage: A Case Report

Affiliations
  • 1Department of Pediatric Dentistry, College of Dentistry, Wonkwang University, Iksan, Korea.
  • 2Department of Pediatric Dentistry and Dental Research Institute, College of Dentistry, Wonkwang University, Iksan, Korea. pedojy@wku.ac.kr

Abstract

In dental trauma, reattachment of the original tooth fragment improves the reproduction of original tooth shape, texture, color, and radiolucency; thus, it provides good aesthetics. A 9-year-old boy was referred due to complicated crown-root fracture of the maxillary right central incisor. Although it had poor prognosis due to severe coronal damage and subcrestal fracture, reattachment of the tooth fragment was chosen due to the patient's age. One-visit apexification with mineral trioxide aggregate (MTA) was performed, followed by osteotomy and reattachment of the tooth fragment with post placement. Regular observation revealed no clinical signs or symptoms and no radiologic complications.

Keyword

Crown-root fracture; Dental trauma; Fragment reattachment; Fiber post

MeSH Terms

Apexification*
Child
Esthetics
Humans
Incisor
Male
Miners
Osteotomy
Pemetrexed*
Prognosis
Reproduction
Tooth*
Pemetrexed
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