Management of cervical root fracture injury in a patient with epilepsy: Case report with 5-year follow-up

2018 ◽  
Vol 38 (5) ◽  
pp. 319-323
Author(s):  
Elif Ataol ◽  
Gizem Erbaş Ünverdi ◽  
Hamdi Cem Güngör
2010 ◽  
Vol 36 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Abhishek Parolia ◽  
Kundabala M. Shenoy ◽  
Manuel S. Thomas ◽  
Mandakini Mohan

2019 ◽  
Vol 7 (1) ◽  
pp. 1 ◽  
Author(s):  
Jessy Ajram ◽  
Issam Khalil ◽  
Richard Gergi ◽  
Carla Zogheib

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.


2020 ◽  
Vol 8 (C) ◽  
pp. 146-150
Author(s):  
Sneha Dhruvkumar Vaswani ◽  
Sathish Abraham ◽  
Harshal Balasaheb Najan ◽  
Rohini Ramesh Karad

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.  


2019 ◽  
Vol 11 (4) ◽  
pp. 131-134
Author(s):  
Arghavan Kamali Sabeti ◽  
Ali Aghajani ◽  
Arghavan Afshar ◽  
Zahra Pakseresht ◽  
Zahra Karimizade

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 725
Author(s):  
David Marinčák ◽  
Vojtěch Doležel ◽  
Michal Přibyl ◽  
Iva Voborná ◽  
Ivo Marek ◽  
...  

The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.


2021 ◽  
Vol 9 (9) ◽  
pp. 107
Author(s):  
Gianni Di Giorgio ◽  
Giulia Zumbo ◽  
Matteo Saccucci ◽  
Valeria Luzzi ◽  
Gaetano Ierardo ◽  
...  

Background: Extrusion, lateral luxation, and intrusion are among the most serious types of dental trauma. Only a few studies have specifically focused on extrusion; the present one was aimed at reporting a case of domestic traumatic dental injury to primary tooth and describing the measures taken in managing the trauma in order to avoid future consequences to the underlying permanent tooth germ. Case report: A 3.5-year-old boy reported a dental injury with extrusion and root fracture of deciduous tooth 5.1. After intraoral and radiographic evaluation, the element was repositioned and stabilized by an orthodontic flexible splint attached to the adjacent teeth. Several follow-up checkups were made and showed good healing of the tissues and physiological exfoliation of the tooth, with a healthy and unaffected corresponding central permanent incisor. Conclusion: This case report strengthens the importance of well-timed diagnosis and treatment and of regular follow-up of traumatized teeth as they may affect both dentitions with a negative impact on Oral Health-Related Quality of Life. Conservative treatment should be taken into consideration when possible, being in some cases more appropriate.


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

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