DOI: 10.36347/sjds.2015.v02i08.001

Pages: 422-426

Abstract: This case report describes the surgical, endodontic, and restorative treatment for the management of two complicated crown root fractures of maxillary central incisors. A 25-year-old male patient was referred to our clinic. It was found in clinical observation that the maxillary right central incisor was fractured bucco-lingually. The fracture fragment was mobile and slightly attached to the gingival tissue and root. Clinical and intraoral periapical radiographic investigation revealed horizontal (medial third) root fracture on the left central incisor and showed that both the central incisors presented complicated crown-root fracture. The patient refused to take the treatment procedures. And then, the patient came back to after 18 days. Firstly, metallic and composite splints were properly removed from the teeth, and then the fractured fragment (#11 tooth) was separated from the gingival tissue. The root canal was obturated with gutta-percha and AH Plus root canal sealer. After, a fibre post inserted into the canal, the fibre post and the fractured tooth part was bonded with dual-cure resin cement. In the clinical examination of maxillary left central, a vertical fracture line beginning from the palatal surface to the coronal third of the root was observed, and a horizontal fractured was also seen in the radiographic examination of the root. the vertical fractured crown-root portion was separated from the remaining tooth at palatal region by using forceps. Exposed crown and root pulp were capped with MTA (Angelus, Londrina, PR, Brazil) and restored with composite resin. the splint was repeated for four weeks.