ArticleCureus2024
Navigating Crown-Root Fracture Complexities in an Adolescent.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Complicated crown-root fracture is a severe dental injury that affects the enamel, dentine, cementum, and pulp, representing a small percentage of dental trauma cases in permanent teeth. This case report discusses the management of a complicated crown-root fracture to the maxillary left central incisor in a 14-year-old male patient following a motor vehicle accident. The fracture extended subgingivally, complicating access and restoration. Initial treatment attempts by a general dentist were unsuccessful due to the repeated dislodgement of restorations. A multidisciplinary approach was taken and options such as orthodontic extrusion, gingivectomy, and surgical extrusion were considered. Root canal treatment followed by gingivectomy was performed to expose the fracture line for restoration. While the fracture line for restoration was successfully exposed, the intrinsic discoloration was overlooked. The key to treatment success was the consideration of supracrestal tissue attachment, a crucial factor in maintaining periodontal health. Regular follow-up is essential to monitor the tooth's endodontic-periodontic status and ensure lasting success.
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