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Case Report
Intentional replantation using 180-degree rotation with crown-root fracture: A case report
1 Carried out at Eastman Institute for Oral Health, former AEGD and GPR resident, Eastman Institute for Oral Health, University of Rochester, NY, USA
2 Program Director of General Practice Residency, Associate Professor of Clinical Dentistry, Eastman Institute for Oral Health, University of Rochester, NY, USA
Address correspondence to:
Maricelle Abayon
Program Director of General Practice Residency, Associate Professor of Clinical Dentistry, Eastman Institute for Oral Health, University of Rochester, NY,
USA
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Article ID: 100049Z07GH2025
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Hoonjan G, Abayon M. Intentional replantation using 180-degree rotation with crown-root fracture: A case report. J Case Rep Images Dent 2025;11(1):6–10.ABSTRACT
Introduction: Managing crown-root fractured teeth can be challenging due to the extent of the subgingival fracture. The purpose of this report is to present a case on treating a crown-root fracture via intentional replantation with a 180-degree tooth rotation.
Case Report: In this case a 19-year-old male patient presented with crown-root fractures of the maxillary central incisors. Intentional replantation with a 180-degree rotation, root canal treatment, post and core build up, followed by extra-coronal restorations was performed to maintain the natural dentition.
Conclusion: Intentional replantation using 180-degree rotation can be a valuable treatment option for crown-root fractures. Other treatment options available for crown-root fractures include crown lengthening, and orthodontic or surgical extrusion. However, these forms of treatment can be time consuming, expensive, and esthetically compromising when compared to intentional replantation.
Keywords: Crown-root fracture, Dental trauma, 180 degrees, Tooth replantation
SUPPORTING INFORMATION
Author Contributions:
Gurpal Hoonjan - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Maricelle Abayon - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Gurpal Hoonjan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
