Integral clinical-surgical restoration in complicated fracture of crown and root of the half third in unique visit

Abstract

Introduction: Complicated coronal fractures in premolars and molars, also involving radicular affection occur in completely formed teeth embedded in matured alveolar bone. They can reach any root segment, resulting in the worst prognosis those reaching the radicular third medial, due to the high risks of appearance of external resorption associated with conventional therapies to treat them.
Objective: To describe a case of restoration of a crown- third medial radicular fracture in a first right upper premolar, using the open method, in one visit.
Case presentation: A 58 year-old male patient, with a healthy past, arriving to the consulting room after suffering a consistent dentoalveolar trauma with a complicated crown and root fracture of third medial, clinically and radiographically confirmed. It required pin cementing, reconstruction of radicular third medial, stump conformation and stabilization for the achievement of an integral restoration. Everything was done in one visit.
Conclusions: The comprehensive clinical-surgical restoration in complicated crown and root fractures of the third medial is a feasible alternative to be performed in one visit, which ensures a rapid recovery of oral functions.

Keywords: dental trauma, crown and root fracture, pin stump endodontics technique, dental restoration, dental surgery.