Horizontal root fracture treated with MTA, a case report with a 10-year follow-up

2011 ◽  
Vol 27 (6) ◽  
pp. 460-463 ◽  
Author(s):  
Miguel Roig ◽  
José Espona ◽  
Montse Mercadé ◽  
Fernando Duran-Sindreu
Keyword(s):  
Case Report ◽  
Root Fracture ◽  
Horizontal Root Fracture

scholarly journals Conservative Management of the Horizontal Root Fracture in the Middle Third using Fiber Post as an Intraradicular Splint

2020 ◽  
Vol 8 (C) ◽  
pp. 146-150
Author(s):  
Sneha Dhruvkumar Vaswani ◽  
Sathish Abraham ◽  
Harshal Balasaheb Najan ◽  
Rohini Ramesh Karad
Keyword(s):  
Case Report ◽  
Glass Fibre ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Fiber Post ◽  
Root Fracture ◽  
Root Fractures ◽  
Horizontal Root Fracture

BACKGROUND: Root fractures are uncommon injuries in permanent teeth and account for only 0.5–7% of dental trauma. It occurs more frequently in fully erupted permanent teeth, in which the completely formed root with closed apices is solidly supported in the bone and periodontium. This may lead to complex consequences due to the combined damage to the pulp, dentine, cementum, bone, and periodontium. They are transverse to oblique in direction and result from a horizontal impact. Their incidence is more in the middle third of the root than at the cervical and apical thirds. CASE REPORT: This paper describes a case of complicated horizontal root fracture at the middle third of the maxillary right central incisor. After receiving an endodontic treatment, the fractured root fragments of the maxillary right central incisors were united with the help of a glass fibre post. Eventually, the incisor was restored with a zirconia crown. CONCLUSION: Follow-up after a year revealed a well-stabilized assembly of the root fragments and the post.  

scholarly journals Ten-year follow-up after immediate management of multiple sports‐related dental injuries: a case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Carmen Buck ◽  
◽  
Alfredo Buck ◽  
Walbert Vieira ◽  
Adriana Soares ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Periapical Lesion ◽  
Root Fracture ◽  
Long Term Follow Up ◽  
Dental Injuries ◽  
Horizontal Root Fracture ◽  
Chlorhexidine Gel

This case report aims to describe a long-term follow-up after the immediate treatment of multiple dental injuries. A 15-year-old female patient was admitted to a private clinic 30 minutes after an accident at school. After clinical and radiographic examinations, tooth 21 was diagnosed with enamel fracture and horizontal root fracture, tooth 22 was diagnosed with lateral luxation, and teeth 12, 11, and 23 were diagnosed with subluxation. Teeth 21 and 22 presented pulp necrosis resulting in root canal treatment. Moreover, tooth 21 was filled with a paste composed of calcium hydroxide, 2% chlorhexidine gel, and zinc oxide, and tooth 22 was filled conventionally. After a 10-year follow-up, her teeth 21 and 22 showed no root resorption or periapical lesion, while her teeth 12, 11, and 23 still presented pulpal vitality

scholarly journals Endodontic and Orthodontic Management of Traumatically Intruded Teeth with Horizontal Root Fracture: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-6
Author(s):  
Marcos Jacobovitz ◽  
Adriana Maria Bonadio Lopes Ramos ◽  
Regina Karla de Pontes Lima ◽  
Fernanda Geraldes Pappen ◽  
Anna B. Fuks
Keyword(s):  
Case Report ◽  
Alternative Treatment ◽  
Orthodontic Treatment ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Root Fracture ◽  
Postoperative Course ◽  
Open Apices ◽  
Horizontal Root Fracture

This report describes the case of an 8-year-old boy that was referred to endodontic and orthodontic treatment after suffering an injury that led to intrusion of the maxillary right permanent central incisor, palatal displacement of the upper right lateral incisor, and root fracture of both central incisors. Both injured teeth were immature and had open apices. The intruded tooth was repositioned by endodontic and orthodontic management. Endodontic therapy was performed in both teeth with periodical changes of calcium-hydroxide-based paste as root canal dressing and introduction of MTA as an apical barrier. The postoperative course was uneventful with clinical and radiographic success up to 3 and 1/2 years of follow up. In the present case, orthodontic repositioning combined with endodontic therapy constitued a viable alternative treatment for intrusive luxations in immature permanent teeth.

scholarly journals Ten-year follow-up after immediate management of multiple sports‐related dental injuries: a case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Carmen Buck ◽  
◽  
Alfredo Buck ◽  
Walbert Vieira ◽  
Adriana Soares ◽  
...  
Keyword(s):  
Case Report ◽  
Root Resorption ◽  
Periapical Lesion ◽  
Root Fracture ◽  
Long Term Follow Up ◽  
Dental Injuries ◽  
Horizontal Root Fracture ◽  
Chlorhexidine Gel

This case report aims to describe a long-term follow-up after the immediate treatment of multiple dental injuries. A 15-year-old female patient was admitted to a private clinic 30 minutes after an accident at school. After clinical and radiographic examinations, tooth 21 was diagnosed with enamel fracture and horizontal root fracture, tooth 22 was diagnosed with lateral luxation, and teeth 12, 11, and 23 were diagnosed with subluxation. Teeth 21 and 22 presented pulp necrosis resulting in root canal treatment. Moreover, tooth 21 was filled with a paste composed of calcium hydroxide, 2% chlorhexidine gel, and zinc oxide, and tooth 22 was filled conventionally. After a 10-year follow-up, her teeth 21 and 22 showed no root resorption or periapical lesion, while her teeth 12, 11, and 23 still presented pulpal vitality.

scholarly journals Surgical Management of Horizontal Root Fracture with Platelet Rich Fibrin (PRF) Placement: Case Report of Two Cases

2013 ◽  
Vol 01 (02) ◽  
pp. 125-128
Author(s):  
Parul Bansal ◽  
Kalpana Kanyal ◽  
Vineeta Nikhil
Keyword(s):  
Case Report ◽  
Tissue Regeneration ◽  
Surgical Approach ◽  
Permanent Teeth ◽  
Periodontal Tissue ◽  
Root Fracture ◽  
Platelet Rich Fibrin ◽  
Periodontal Tissue Regeneration ◽  
Root Fractures ◽  
Horizontal Root Fracture

AbstractRadicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5 - 7% of the cases. Horizontal root fractures can be managed endodontically or combined endodontic and surgical approach. Treatment varies according to the displacement and vitality of the fragments. This paper presents a case report of two cases of horizontal root fracture, present between the middle and apical third of central incisors, which were managed by combined endodontic and surgical approach, while in second case it was followed by PRF placement to facilitate osteoinduction and periodontal tissue regeneration.

scholarly journals Management of an Immature Necrotic Permanent Molar with Apical Periodontitis Treated by Regenerative Endodontic Protocol Using Calcium Hydroxide and MM-MTA: A Case Report with Two Years Follow Up

2019 ◽  
Vol 7 (1) ◽  
pp. 1 ◽  
Author(s):  
Jessy Ajram ◽  
Issam Khalil ◽  
Richard Gergi ◽  
Carla Zogheib
Keyword(s):  
Case Report ◽  
Root Growth ◽  
Calcium Hydroxide ◽  
Case Reports ◽  
Blood Clot ◽  
Complete Healing ◽  
Current Case ◽  
Root Fracture ◽  
Permanent Molar

Traditionally, immature teeth diagnosed with necrotic pulp and periapical periodontitis were treated by apexification with long-term calcium hydroxide or in one session with mineral trioxide aggregate (MTA) or Biodentine apical plug. However, these teeth become fragile and susceptible to root fracture. Regenerative endodontic procedure is a new therapeutic approach that promotes continuation of root growth in immature necrotic teeth potentially preventing root fracture. Only few case reports have shown the success of this procedure on molar cases. The current case report demonstrates a regeneration of a lower first molar with necrotic pulp and chronic apical abscess treated with Micro Mega-MTA (MM-MTA), a new endodontic biomaterial that has not been described previously. Calcium hydroxide was used as an intracanal medicament for two weeks. Next, calcium hydroxide was removed and after blood clot creation, MM-MTA® was placed over it. Apical healing and continuation of root growth were evident at nine months follow-up. CBCT at two years follow-up confirmed apical closure and complete healing. This case shows that a regenerative endodontic procedure for management of an immature necrotic permanent molar is feasible and can be successfully done using Ca(OH)2 and MM-MTA.

scholarly journals Spontaneous healing response of oblique root fracture: case report with 4-year follow-up

2021 ◽  
Vol 10 (3) ◽  
pp. e30710313144
Author(s):  
Hugo José Santos Bastos ◽  
Key Fabiano Souza Pereira ◽  
Luiz Fernando Tomazinho ◽  
Marcos Roberto dos Santos Frozoni ◽  
Élida Boaventura Mendes
Keyword(s):  
Treatment Decision ◽  
Endodontic Treatment ◽  
Spontaneous Healing ◽  
Root Fracture ◽  
Tooth Discoloration ◽  
Root Fractures ◽  
Complete Fracture ◽  
Pulp Vitality ◽  
Horizontal Root Fracture

Root fractures can involve the dentin, cementum, and pulp and commonly can occur as oblique fractures with varying orientations. The aim of this study was to demonstrate the maintenance of pulp health in a tooth with a fractured root without any endodontic treatment and to discuss the advantage of cone-bean computed tomography (CBCT) compared with traditional radiographs in the diagnosis of oblique root fractures. Intra-oral radiography of tooth 11 revealed a horizontal root fracture at the level of the apical third, while the sagittal CBCT slice reveals a complete fracture line running obliquely from the apical third on the buccal aspect through the cervical third on the palatal aspect.  Four years follow-up, the tooth has kept its pulp vitality, no tooth discoloration or discrepancy in arch position, without endodontic treatment. This result illustrates spontaneous healing of root fracture including preservation of pulp health. In addition, it confirms the importance of exams in 3 dimensions to correctly locate the fracture and assist in the treatment decision.

scholarly journals Horizontal root fracture: a case report

2014 ◽  
Vol 4 (1) ◽  
pp. 63-66
Author(s):  
Sérgio Brunini ◽  
Élio Silva Junior ◽  
Iago Trida
Keyword(s):  
Case Report ◽  
Root Fracture ◽  
Horizontal Root Fracture

scholarly journals Horizontal root fracture in the apical third: case report

2016 ◽  
Vol 64 (4) ◽  
pp. 467-471
Author(s):  
Klaus Souza SANTOS ◽  
Mário Alfredo Silveira MIRANZI ◽  
Benito André Silveira MIRANZI ◽  
Sílvia França SANTOS ◽  
Almir José Silveira MIRANZI
Keyword(s):  
Case Report ◽  
Emergency Care ◽  
Clinical Case ◽  
Young Male ◽  
Young Female ◽  
Radiographic Evaluation ◽  
Central Incisor ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Horizontal Root Fracture

ABSTRACT This article presents a clinical case of horizontal root fracture, in an adult patient, male, in the apical third, due to the practice of sports, which, along with other factors, has led to pulp necrosis. Initially, the patient sought emergency care, and then he underwent treatment by endodontics, using calcium hydroxide between sessions. After a monitoring period, root canal obturation was performed and the tooth is clinically and radiographically stable 2 years after the trauma. In this case, monitoring is long-lasting, divided into 12-month periods for 10 years, with clinical and radiographic evaluation. Dental fracture in children and teenagers from 10 to 14 years is very common, especially during the practice of sports and recreation activities. It is expected that young male individuals have greater propensity to damage their teeth than young female individuals. Maxillary central incisor is the tooth most commonly involved, and it often evolves to pulp necrosis after trauma.

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