Multidisciplinary treatment approach to a complicated crown fracture: A case report

Abstract

This case report presents multidisciplinary treatment approach in a 12-year-old male patient who suffered from a complicated crown fracture of the maxillary right central incisor that occurred due to a fall. The patient was evaluated from a multidisciplinary vantage point to provide function and esthetics. First, the fractured segment was removed from the tooth and gingivoplasty was performed. Fiber post was applied following root canal treatment and temporary restoration was performed. The axes of the teeth were corrected with short-term (4 months) fixed orthodontic treatment, and esthetic and appropriate tooth position was achieved on the zirconia-reinforced ceramic crown. A zirconia-reinforced ceramic crown was made using computer-aided design and manufacturing. A satisfactory esthetic appearance and function were achieved following the treatment. No problems were encountered in the tooth and periodontal area during the follow-up appointments. This case shows the significance of a multidisciplinary treatment approach in traumatized teeth.