J Korean Dent Assoc > Volume 57(11); 2019 > Article
Journal of Korean Dental Association 2019;57(11):679-688.
DOI: https://doi.org/10.22974/jkda.2019.57.11.005    Published online November 30, 2019.
외과적 정출술을 이용한 치관-치근 파절된 미성숙 영구치의 치료: 3년 간의 증례보고
전수진
원광대학교 치과대학 대전치과병원 치과보존과
Surgical extrusion of immature permanent tooth with crown-root fractures: a case report with 36-month follow up
Su-jin Jeon
Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital
Abstract
A 8-year-old patient presented with a crown-root fracture of the maxillary right central incisor with an oblique subgingival fracture line. A multidisciplinary treatment approach including endodontic treatment, surgical extraction and intraalveolar repositioning was used to gain sufficient crown length of the fractured maxillary incisor. The coronally repositioned maxillary right central incisor was stabilized by a resin wire splint. Apexification using MTA was performed. Resin core and direct resin restoration(Cl IV) on fractured teeth was built up. Clinical and radiographic follow-up of the maxillary right central incisor after 36 months showed no signs of root resorption or pathology and acceptable aesthetics and functions were maintained. Surgical extrusion can be considered as a good treatment modality for young patients.
Key Words: Surgical extrusion;Crown-root fracture;Immature permanent incisor;Apexification;
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