Li N, Ren YY, Tang Y, Yang Q, Meng TT, Li S, Zhang J. Pulp health and calcific healing of a complicated crown–root fracture with additional root fracture in a maxillary incisor: A case report. World J Clin Cases 2025; 13(3): 98104 [DOI: 10.12998/wjcc.v13.i3.98104]
Corresponding Author of This Article
Song Li, DDS, PhD, Chief Physician, Professor, Stomatological Hospital and College, Anhui Medical University, No. 69 Meishan Road, Hefei 230032, Anhui Province, China. 3197053337@qq.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2025; 13(3): 98104 Published online Jan 26, 2025. doi: 10.12998/wjcc.v13.i3.98104
Pulp health and calcific healing of a complicated crown–root fracture with additional root fracture in a maxillary incisor: A case report
Na Li, Yue-Yue Ren, Ying Tang, Qi Yang, Tian-Tian Meng, Song Li, Jing Zhang
Na Li, Yue-Yue Ren, Ying Tang, Qi Yang, Tian-Tian Meng, Song Li, Jing Zhang, Stomatological Hospital and College, Anhui Medical University, Hefei 230032, Anhui Province, China
Na Li, Department of Endodontics, The Affiliated Stomatological Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China
Co-corresponding authors: Song Li and Jing Zhang.
Author contributions: Li N, Li S, and Zhang J contributed to the preparation, correction, and review of the manuscript; Ren YY, Tang Y, Yang Q, and Meng TT contributed to the collection of data; all authors have read and approved the final manuscript.
Supported by 2021 Disciplinary Construction Project in School of Dentistry, Anhui Medical University, No. 2021kqxkFY05.
Informed consent statement: Informed written consent was obtained from the patient’s parents who is her only surviving relative for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Song Li, DDS, PhD, Chief Physician, Professor, Stomatological Hospital and College, Anhui Medical University, No. 69 Meishan Road, Hefei 230032, Anhui Province, China. 3197053337@qq.com
Received: June 18, 2024 Revised: October 1, 2024 Accepted: October 29, 2024 Published online: January 26, 2025 Processing time: 147 Days and 3.9 Hours
Abstract
BACKGROUND
Complicated crown–root fracture (CRF) involves severe injury to the crown, root, and pulp, and may be accompanied by multiple root fractures. The loss of a tooth has lifelong consequences for children and teenagers, but the maintenance of pulp health and the calcific healing of multiple root fractures are rarely reported in the literature.
CASE SUMMARY
This case reports healing of a permanent tooth with complicated crown–root and additional root fractures, in which pulp health was maintained. A 10-year-old girl fell and fractured the root of her maxillary left central incisor at the cervical level. After the coronal fragment was repositioned, the tooth was splinted until the tooth was no longer mobile, 2 years later. Eight years after treatment, the tooth has remained asymptomatic with vital pulp and localized gingival overgrowth. Cone-beam computed tomography revealed not only calcified healing of the CRF but also spontaneous healing in an additional undiagnosed root fracture. The fracture line on the enamel could not be healed by hard tissue and formed a groove in the cervical crown. It was speculated that the groove was related to the localized gingival overgrowth.
CONCLUSION
This case provides a clinical perspective of the treatment of a tooth with a complicated CRF and an additional root fracture.
Core Tip: This case describes the conservative management of a complicated crown–root fracture with an additional root fracture that did not receive any surgical or endodontic treatment. A satisfactory outcome was achieved with an 8-year follow-up. The case report offers significant insights into the management of such dental injuries.
