Treatment tactics in children with crown-root fractures of permanent teeth

The main principles of management of children with root fractures of permanent teeth in the coronal third are presented using two clinical cases as an example. In the treatment of root fractures in the coronal third, an important condition for success is timely flexible or semi-flexible splinting of the tooth for a sufficiently long period (up to 4 months). In the absence of splinting or significant mobility of the coronal fragment after removal of the splint the probability of pulp necrosis is very high, and the method of choice is treatment with calcium silicate cements with their introduction by orthograde or surgical access. Significant mobility of the coronal fragment excluding stable healing with the formation of a hard-tissue connection is an indication for decoronation, while orthodontic extrusion in combination with surgical lengthening makes it possible to use the preserved root as a support for the orthopedic structure.