scholarly journals New Approach in the Management of Vertical Root Fracture with the Help of Biodentine and CBCT

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
H. C. Baranwal ◽  
Nidhi Singh ◽  
Neeraj Kumar ◽  
Riya Garg ◽  
Jyoti Yadav ◽  
...  

Introduction. Vertical root fracture is a big challenge to dentists for its diagnosis and treatment. As the tooth presents poor prognosis, the most common treatment modality is extraction. One can save the tooth from extraction by the reconstruction of fracture fragments followed by intentional reimplantation. New treatment options have arrived for healing of the fracture site by hard tissue barrier formation with the help of bioceramic materials. Case Report. The present case report describes successful management of complete vertical root fracture of a maxillary left central incisor by trauma in a 35-year-old male with the help of Biodentine, a bonding agent, a fiber post, and dual-cure resin cement without tooth extraction, followed by all ceramic crowns. Up to two years of follow-up, there is no problem in the tooth, and radiographically, there is no radiolucency along the fracture line. Periodontal status and probing depth were within a normal physiological limit. Conclusion. Functional and aesthetic outcomes are achieved by combined therapy in the present case report.

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Nima Moradi Majd ◽  
Farshid Akhtari ◽  
Solmaz Araghi ◽  
Hamed Homayouni

Introduction. Vertical root fracture (VRF) is one of the most frustrating complications of root canal treatment. The prognosis of the root with VRF is poor therefore tooth extraction and root amputation are usually the only treatment options. However, bonding of the fracture line with adhesive resin cement during the intentional replantation procedure was recently suggested as an alternative to tooth extraction.Methods. A vertically fractured left maxillary incisor was carefully extracted, fracture line was treated with adhesive resin cement, a retrograde cavity was produced and filled with calcium-enriched mixture (CEM) cement, and tooth was replanted.Results. After 12 months the tooth was asymptomatic. The size of periapical radiolucency was noticeably reduced and there was no clinical sign of ankylosis.Conclusion. Using adhesive resin cement to bond the fracture lines extraorally in roots with VRF and intentional replantation of the reconstructed teeth could be considered as an alternative to tooth extraction, especially for anterior teeth.


2016 ◽  
Vol 41 (4) ◽  
pp. 316 ◽  
Author(s):  
Silvio Taschieri ◽  
Massimo Del Fabbro ◽  
Ahmed El Kabbaney ◽  
Igor Tsesis ◽  
Eyal Rosen ◽  
...  

2017 ◽  
Vol 31 (1) ◽  
pp. 21-28
Author(s):  
Abdullah Alsani ◽  
Abdulrahman Balhaddad ◽  
Muhammad Ashraf Nazir

Author(s):  
Lucisano MP ◽  
Corrêa Leite RGL ◽  
Nelson-Filho P ◽  
Minto AMP ◽  
Ferraz JAB ◽  
...  

The present case report describes a multidisciplinary approach involving endodontic, restorative, surgical and periodontal treatment and rehabilitation of a central incisor with crown-root fracture (CRF) in an 11-year-old child. Although in the future possible sequelae and complications should be considered since it is an extensive trauma, the prognosis of the present case is favorable, with the occurrence of repair, evidenced by clinical, radiographic and tomographic success, after one year and six months of follow-up. It was concluded that the association of prolonged flexible splint, biological endodontic treatment, gingivoplasty and restorative/rehabilitative procedures seem to be an adequate and conservative management for CRF cases.


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