395 - Alveolar Bone Preservation with Root Banking Following Dental Trauma

Traumatic dental injuries comprise 5% of all injuries that children and young adults seek treatment for and 25% of school-aged children experience dental trauma. Of the traumas that affect permanent teeth, crown fractures and luxation injuries are the most common. This case report details the management, follow up, and subsequent treatment of an adolescent who experienced a horizontal root fracture and uncomplicated enamel-dentin fracture of a permanent tooth. During the years that followed the acute management of the injury and appropriate follow up, the traumatized tooth experienced repeated crown fractures and was repaired numerous times. Ultimately, the tooth was non-restorable due to decay and continued structural loss. In order to preserve and promote continued growth of the developing alveolus, the traumatized tooth was decoronated and the endodontically treated root was buried to maintain bone density until the patient reaches skeletal maturity.