Marinčák David, Doležel Vojtěch, Přibyl Michal, Voborná Iva, Marek Ivo, Šedý Jiří, Žižka Radovan
Institute of Dentistry and Oral Sciences, Medical Faculty, University of Palacký, 772 00 Olomouc, Czech Republic.
Department of Anatomy, Second Faculty of Medicine, Charles University, 150 06 Prague, Czech Republic.
Children (Basel). 2021 Aug 25;8(9):725. doi: 10.3390/children8090725.
The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.
年轻恒牙复杂冠根折是一种罕见的牙外伤,通常治疗方式复杂,不仅对牙医要求高,对接受治疗的儿童也是如此。在本病例报告中,我们展示了一名10岁男孩牙外伤后上颌中切牙的保守治疗。治疗包括在黏骨膜瓣翻起后进行部分活髓切断术和黏附碎片再接术。患者在24个月的随访中完全无症状,美学效果可接受。活髓治疗和黏附碎片再接术对于复杂冠根折可能是一种可行的治疗选择,尤其是在治疗未成熟恒牙时。