Management of a complicated crown-root fracture in a young permanent incisor using intentional replantation.
Management of a complicated crown-root fracture in a young permanent incisor using intentional replantation.
复制标题
DOI：
10.1111/j.1600-9657.2006.00487.x
复制
发表时间：
2008-02
期刊：
影响因子：
--
通讯作者：
Zhengyan Wang;Michelle Heffernan;W. Vann
中科院分区：
文献类型：
--
作者：
Zhengyan Wang;Michelle Heffernan;W. Vann
本病例的目的是回顾和说明复杂冠根骨折后上颌中切牙再植的临床操作。儿童复杂冠根骨折的治疗常常受到牙龈缘和/或骨下骨折的影响。这使得隔离变得困难，并且包括对成功的牙髓治疗至关重要的密封密封。有人建议采用正畸或牙龈切除的手术方法，但是，这些方法昂贵、耗时、美观，而且当骨折线位于牙周深处时也不能令人满意。我们的报告将讨论这类病例的治疗选择，并介绍作为治疗年轻恒前牙复杂冠根骨折的一种选择的故意再植的概念。
The purpose of this case presentation is to review the rationale for and illustrate the clinical procedures involved in intentional replantation of a maxillary central incisor following a complicated crown-root fracture. The treatment of complicated crown-root fractures in children often is compromised by a fracture below the gingival margin and/or bone. This makes isolation difficult and comprises the hermetic seal that is critical for a successful endodontic treatment. Orthodontic or surgical extrusion with gingivectomy has been suggested; however, these approaches can be expensive, time-consuming, esthetically compromising, and unsatisfactory when the fracture line is deep below the gingiva. Our presentation will discuss the treatment options for such cases and introduce the concept of intentional replantation as an option to manage complicated crown-root fractures in young permanent anterior teeth.