Multidisciplinary treatment approach for complex crown-root fractures in child with periodontal health as the guiding principle: a case report with 8-year follow-up

Abstract

Background

Pediatric anterior teeth complex crown-root fractures has high incidence and pose greater treatment challenges. Dynamic tooth development increases risks for orthodontic, periodontal, and restorative treatments.

Case description

The authors present a case of a 12-year-old boy with a complex crown-root fracture in the right maxillary central incisor. Initial treatment involved following IADT guidelines and extracting the fractured crown for orthodontic and restorative care. Collaboration among periodontists, orthodontists, and restorative dentists facilitated orthodontic traction and resin restoration, along with subgingival restoration surface treatment, improving periodontal health. Over 8 years, stable tooth and periodontal health with satisfactory aesthetics were observed, without inflammation or pain.

Conclusion

Follow-up of 8 years showed favorable prognosis for the affected tooth, highlighting the essential role of periodontists and consideration of periodontal health in managing complex crown-root fractures in children.