COMPLICATED CROWN-ROOT FRACTURES: TWO CASE REPORTS

Authors : Behiye Bolgül, Rukiye Arikan, Oyku Peker

Pages : 47-52

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Publication Date : 2023-04-30

Article Type : Research Article

Abstract :Dentoalveolar traumas mostly occur in children and adolescents as a result of falls, fights, and vehicle accidents (Ellis, Moos & El-Atlar, 1985; Baratieri, Monteiro & Andrada, 1990). Traumatic dental injuries can cause a variety of damage, ranging from minimal enamel loss to complicated fractures involving the pulp (Andreasen, Andreasen & Andersson, 2007). Fractures involving enamel, dentin and cementum are called crown-root fractures. It can be classified as a complicated or uncomplicated crown-root fracture according to whether the trauma involves the pulp (Andreasen & Andreasen, 1994). 80% of these traumas are related to the central incisors and 16% to the lateral incisors (Andreasen & Ravn, 1972). Treatment options depend on the level of the fracture line and the amount of tooth tissue remaining. Depending on the pulpal conditions, the amount of tooth eruption, whether there is a tooth piece compatible with the remaining tooth structure, the length and morphology of the root, the situation in the aesthetic region and the patient\'s aesthetic expectation (Andreasen & Ravn, 1972; Kırzıoğlu & Karayılmaz, 2007) Direct capping, pulpotomy, or root canal treatment are among the treatment options that can be applied. In these case reports, it was seen that successful results were obtained with correct diagnosis and treatment options even in cases that seem quite complicated and have low probability of success, and treatment options that can be applied after late trauma were stated.
Keywords : Karmaşık kron-kök kırığı, Diş travması, Genç kalıcı dişler