346 - Fracture to Flipper: A Case Report of Decoronation for Bone Preservation

Saturday, May 28, 2022

9:20 AM – 9:35 AM PT

Location: Sails Pavilion

Has Audio

Presenting Author(s)

Courtney Herman, DDS

Pediatric Dental Resident
Case Western Reserve University — UH Rainbow Babies and Children’s Hospital, Cleveland, OH
Case Western Reserve University-UH Rainbow Babies and Children's Hospital, Cleveland OH
Chagrin Falls, Ohio, United States

Co-Author(s)

MF

Margaret Ferretti, DMD

Assistant Professor
Case Western Reserve University- University Hospitals Rainbow Babies and Children's Hospital
cleveland, Ohio, United States
YA

Ying An, DDS PhD

Case Western Reserve University — UH Rainbow Babies and Children’s Hospital, Cleveland, OH

Program Director(s)

GF

Gerald A. Ferretti, DDS, MS, MPH

Program Director
Case Western Reserve University - UH Rainbow Babies and Children's Hospital, Cleveland, OH
Cleveland, Ohio, United States

Trauma to permanent teeth and surrounding structures is a common occurrence in children and young adults. Early loss of a permanent tooth can lead to alveolar bone resorption, causing functional and esthetic deficits. Decoronation of a traumatized, non-restorable tooth with a temporary prosthesis is one viable option for replacement. Decoronation is a procedure which allows for the width and vertical height of the ridge to be preserved until a patient is skeletally mature enough for a permanent replacement prosthesis such as a bridge or implant crown. This case discusses the decoronation, debridement, and subsequent creation of a valplast prosthesis for a young female who suffered dental trauma to a permanent maxillary anterior tooth. Details of her case from the initial Emergency Room visit to the delivery of the prosthesis is discussed. This case demonstrates a clinically proven method through restoring esthetics while conserving future form and function in the process.