The treatment options for the traumatically fractured tooth; Case reports

Jo, Hyo-Jin; Ha, Jung-Hong

doi:2024.62.1.8

J Korean Dent Assoc > Volume 62(1); 2024 > Article

CASE REPORT

The Journal of The Korean Dental Association 2024;62(1):8-20.
DOI: https://doi.org/10.22974/jkda.2024.62.1.001 Published online January 31, 2024.

외상으로 파절된 치아의 치료에 대한 증례보고

조효진

, 하정홍

경북대학교 치과대학 치과보존학교실

The treatment options for the traumatically fractured tooth; Case reports

Hyo-Jin Jo

, Jung-Hong Ha

Department of conservative dentistry, School of Dentistry, Kyungpook National University

Correspondence: Jung-Hong Ha, Tel: +82-53-600-7601,
Email: endoking@knu.ac.kr

Received: 3 April 2023 • Revised: 8 June 2023 • Accepted: 10 August 2023

Abstract

The traumatic accident could cause various damages to the teeth and surrounding tissues. It makes dentist embarrass be-cause it not only requires the dentist to make quick decision, but also delayed decision affect the prognosis of the treatment. Depending on the location of the fracture, the fractured teeth are divided into crown fracture without pulpal involvement (Uncomplicated crown fracture), crown fracture with pulpal involvement (Complicated crown fracture), crown-root frac-ture, and root fracture. When the crown was fractured, treatment was performed with reattachment of the fragment or direct composite resin restoration depending on the presence or absence of the crown fragment. In the case of crown-root fracture, the direction of treatment can be set depending on whether the moisture control for final restoration is properly performed. In the case of root fracture, follow-up was observed after fixation using resin wire splint fixation, and if necessary, endodontic treatment of the crown fragment is recommended. The cases reported here have led to positive treatment outcome in fractured tooth for various traumatized situation.

Key Words: Crown fracture; Crown-root fracture; Dental trauma; Root fracture