Case Report

Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases

Abstract

Dental traumatic injuries most commonly occur in the primary and mixed dentition, but vertical complicated crown-root fractures are rarely seen in children. Clinical and radiographic examination of these injuries helps in accurate diagnosis and management. According to the International Association of Dental Traumatology guidelines, treatment usually involves extraction followed by placement of a space maintainer. Cases of complicated crown and root fracture in primary posterior teeth are often unnoticed by the clinician, at the time of injury. Two such patients are presented, who reported symptoms a few weeks after their accident. They were managed conservatively by initial stabilization with stainless steel crowns, followed by root canal therapy. This report highlights the need for referral to specialists and emphasizes the importance of conservative management of primary teeth to maintain functional demands.

1. Hargreaves JA, Cleaton-Jones PE, Roberts GJ, Williams S, Matejka JM. Trauma to primary teeth of South African pre-school children. Endod Dent Traumatol. 1999 Apr;15(2):73-6.
2. Andreasen JO, Andreasen FM. Testbook and Color Atlas of Traumatic Injuries to the Teeth. 3rd ed. Copenhagen: Munksgaard. 1993:257–76.
3. Kargul B, Cağlar E, Tanboga I. Dental trauma in Turkish children, Istanbul. Dent Traumatol. 2003 Apr;19(2):72-5.
4. Maréchaux SC. Chin trauma as a cause of primary molar fracture: report of case. ASDC J Dent Child. 1985 Nov-Dec;52(6):452-4.
5. Schatz JP, Joho JP. A retrospective study of dento-alveolar injuries. Endod Dent Traumatol. 1994 Feb;10(1):11-4.
6. Flores MT. Traumatic injuries in the primary dentition. Dental traumatology. 2002 Dec;18(6):287-98.
7. Holan G. Traumatic injuries to the chin: a survey in a paediatric dental practice. Int J Paediatr Dent. 1998 Jun;8(2):143-8.
8. Tejani Z, Johnson A, Mason C, Goodman J. Multiple crown-root fractures in primary molars and a suspected subcondylar fracture following trauma: a report of a case. Dent Traumatol. 2008 Apr;24(2):253-6.
9. Götze Gda R, Barreira AK, Maia LC. Crown-root fracture of a lower first primary molar: report of an unusual case. Dent Traumatol. 2008 Jun;24(3):e377-80.
10. Morisaki I, Kitamura K, Ooshima T, Sobue S. Vertical crown-root fracture of the mandibular first primary molar in a one-year-old child. Endod Dent Traumatol. 1989 Aug;5(4):197-9.
11. Needleman HL, Wolfman MS. Traumatic posterior dental fractures: report of a case. ASDC J Dent Child. 1976 Jul-Aug;43(4):262-4.
12. Suher T, Fixott HC. Multiple accidental fractures of posterior primary teeth (a case report). J Dent Child. 1952;2013:115-7.
13. Gongora-Cuevas G, Rosales-Berber MA, Ruiz-Rodriguez MS, Martinez-Zumaran A, Garrocho-Rangel A, Pozos-Guillen AJ. Bilateral vertical complicated fracture of mandibular first primary molars associated with trauma: Report of an unusual case. Pediatr Dent J. 2012 Mar 31;22(1):72-7.
Files
IssueVol 17 (Continuously Published Article-Based) QRcode
SectionCase Report
DOI https://doi.org/10.18502/fid.v17i39.5292
Keywords
Crowns Pulpectomy Wounds and Injuries Tooth Fractures Tooth Deciduous Endodontics
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Kumari R, Kumar N, Gauba K. Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases. Front Dent. 2021;17.