Management Of Dental Trauma Complicated By Alveolar Process Fracture

Complex crown-root fractures, especially when combined with alveolar process fractures, often undermine the ferrule effect critical for restorative outcomes, typically leading to tooth extraction and implant surgery as the standard approach. However, this case demonstrates the successful preservation and functional restoration of natural traumatized teeth, challenging conventional treatment paradigms. A 37-year-old female presented with dental trauma and an alveolar process fracture in the maxillary anterior region. Following tooth replacement, surgical extrusion, and guided bone regeneration (GBR), the four traumatized teeth were preserved. Subsequent root canal therapy and coronal restorations were performed. At the one-year follow-up, the teeth exhibited excellent gingival and periodontal health, with fully restored function. 1)Challenge: The case involved a complex crown-root fracture extending 3 mm below the gingival margin. Although implant surgery is often the preferred option, surgical extrusion enabled the preservation of the natural teeth. 2)Uniqueness: The presence of an alveolar process fracture added complexity, necessitating GBR, meticulous infection control, and detailed postoperative follow-up, with multiple intricate procedural steps. 3)Complexity: The treatment required a multidisciplinary approach, integrating expertise from oral surgery, endodontics, emergency care, and prosthodontics, over an extended treatment period. 4)Outcome: At the one-year follow-up, coronal restoration was successfully completed, demonstrating favorable clinical outcomes. Long-term efficacy will require further monitoring. The case demonstrates the successful preservation of natural teeth, achieving both functional restoration and favorable clinical outcomes, offering a valuable reference for managing complex dental trauma.