scholarly journals Regenerative Endodontic Treatment of Maxillary Incisors with a History of Severe Traumatic Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Nazanin Chitsaz ◽  
Mehrfam Khoshkhounejad ◽  
Hadi Assadian ◽  
Behnam Bolhari ◽  
Mohammadreza Sharifian ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Root Resorption ◽  
Traumatic Injury ◽  
Signs And Symptoms ◽  
Bone Volume ◽  
Anterior Teeth ◽  
Severe Traumatic Injury ◽  
History Of ◽  
Treatment Objective ◽  
Regenerative Endodontic Treatment

The treatment objective for children with avulsed anterior teeth should concentrate on preserving the alveolar bone volume and contour. Posttraumatic external inflammatory root resorption (EIRR) is also a high-risk complication often observed in children. Regenerative endodontic procedure (REP) has been considered a successful treatment to arrest EIRR, especially in posttraumatic cases. This case report presents clinical outcomes of REP in two teeth of an 8-year-old systemically healthy patient with a history of severe dentoalveolar traumatic injury, one with a history of avulsion, and the other with an EIRR. The treatment consisted of REP on both teeth #8 and #9. The results showed some evidence of maturation in the apical third of tooth #9 and resolution of signs and symptoms on tooth #8.

scholarly journals Severe trauma in young permanent tooth: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Ana Luiza Costa Silva de OMENA ◽  
Ivana Aguiar FERREIRA ◽  
Claudia Lima RAMAGEM ◽  
Kelly Maria Silva MOREIRA ◽  
Isabela FLORIANO ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Root Resorption ◽  
Traumatic Injury ◽  
Severe Trauma ◽  
Permanent Tooth ◽  
Dental Office ◽  
Severe Traumatic Injury ◽  
Dentoalveolar Trauma ◽  
To Receive

ABSTRACT Dentoalveolar trauma is a severe traumatic injury involving alveolar bone and dental structures. Like any trauma, it can leave irreparable sequelae and even cause tooth loss. The aim of this study is to report on the case of a dentoalveolar trauma in a 10-year-old male patient and the treatment performed with 12-month follow-up. The child had lateral luxation and displacement of teeth 11 and 21 in labial direction after a fall from his own height. The patient was examined at a hospital, received medication and was referred to a dental clinic. At the dental office, the teeth were repositioned, as well as received endodontic treatment and dental reanatomization. Two months after the trauma, root resorption was observed externally, which remained stable for 12 months. It was concluded that post-trauma treatment should be immediate and that follow-up sessions should be done carefully to minimize sequelae and to receive better prognosis.

scholarly journals Orthodontic Forced Eruption of Permanent Anterior Teeth with Subgingival Fractures: A Systematic Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12580
Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Statistical Significance ◽  
Case Series ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Cochrane Library ◽  
Anterior Teeth ◽  
Forced Eruption

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.

scholarly journals Quantitative Analysis of the Relationship between Maxillary Incisors and the Incisive Canal by Cone-Beam Computed Tomography in an Adult Population of Mangaluru

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Vaishnavi D ◽  
◽  
Harshitha V ◽  
Kishore K ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Interindividual Variation ◽  
Cone Beam ◽  
Maxillary Incisor ◽  
Incisive Canal ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Maxillary Incisors

Background: Maxillary anterior teeth play a crucial role in aesthetics, phonetics, and mastication. For successful orthodontic treatment evaluating the morphology of the alveolar bone and incisive canal would help in avoiding root resorption, dehiscence, and fenestration. This study is aimed to research the configurational relationships among maxillary incisors, alveolar bone, and incisive canal through Cone Beam Computerated Tomography (CBCT). Methods: CBCT images of 35 orthodontic patients were evaluated for length of the canal (L); angles between the palatal plane and the maxillary alveolar border (01),the incisive canal (02), and maxillary incisor (03); distance from the right maxillary incisor to the incisive canal (D). All the measurements were performed on sagittal plane with the exception of (D) which was made on axial plane. Statistical analysis was performed on the above parameters using two sample test and Pearson’s correlation analysis. Results: There was no statistically significant difference between males and females for all the variables although there were large interindividual variation. There was a positive moderate correlation between 01 and 02 (0.480), 01 and 03 (0.487), 02 and 03 (0.345). The mean value for L and D were 10.38mm and 4.14mm respectively. Conclusion: There exists a large interindividual variability for incisive canal, proximity of incisors with that of incisive canal which could not be precisely predicted by the conventional cephalograms. The results of the study could be helpful clinically in planning orthodontic treatment for significant intrusion and retraction of maxillary incisors

scholarly journals In vivo microcomputed tomography evaluation of rat alveolar bone and root resorption during orthodontic tooth movement

2012 ◽  
Vol 83 (3) ◽  
pp. 402-409 ◽  
Author(s):  
Nan Ru ◽  
Sean Shih-Yao Liu ◽  
Li Zhuang ◽  
Song Li ◽  
Yuxing Bai
Keyword(s):  
Alveolar Bone ◽  
Tooth Movement ◽  
Root Resorption ◽  
Volume Fraction ◽  
Orthodontic Tooth Movement ◽  
Bone Volume ◽  
Structure Model ◽  
Bone Volume Fraction ◽  
Trabecular Thickness

ABSTRACT Objective: To observe the real-time microarchitecture changes of the alveolar bone and root resorption during orthodontic treatment. Materials and Methods: A 10 g force was delivered to move the maxillary left first molars mesially in twenty 10-week-old rats for 14 days. The first molar and adjacent alveolar bone were scanned using in vivo microcomputed tomography at the following time points: days 0, 3, 7, and 14. Microarchitecture parameters, including bone volume fraction, structure model index, trabecular thickness, trabecular number, and trabecular separation of alveolar bone, were measured on the compression and tension side. The total root volume was measured, and the resorption crater volume at each time point was calculated. Univariate repeated measures analysis of variance with Bonferroni corrections were performed to compare the differences in each parameter between time points with significance level at P &lt; .05. Results: From day 3 to day 7, bone volume fraction, structure model index, trabecular thickness, and trabecular separation decreased significantly on the compression side, but the same parameters increased significantly on the tension side from day 7 to day 14. Root resorption volume of the mesial root increased significantly on day 7 of orthodontic loading. Conclusions: Real-time root and bone resorption during orthodontic movement can be observed in 3 dimensions using in vivo micro-CT. Alveolar bone resorption and root resorption were observed mostly in the apical third on day 7 on the compression side; bone formation was observed on day 14 on the tension side during orthodontic tooth movement.

Adjunctive Orthodontic Applications in Dental Implantology

2015 ◽  
Vol 41 (4) ◽  
pp. 501-508 ◽  
Author(s):  
Ali Borzabadi-Farahani ◽  
Homayoun H. Zadeh
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Bone Volume ◽  
Randomized Controlled Clinical Trials ◽  
Orthodontic Therapy ◽  
Site Development ◽  
Implant Placement ◽  
Horizontal Augmentation ◽  
Orthodontic Extrusion

Implant placement is often necessitated for replacement of teeth with pathologically damaged alveolar bone due to periodontitis or traumatic injury. Surgical augmentation of resorbed bone has many limitations, including lower efficacy of vertical augmentation than horizontal augmentation, as well as morbidity associated with grafting procedure. Orthodontic therapy has been proposed as a useful method for augmenting the resorbed alveolar bone and reforming aesthetically appealing gingival margin, prior to implant placement. This narrative review summarizes the available evidence for the application of orthodontic strategies that can be used as adjunct in selected cases to augment bone volume for the future implant site and maintain space for the prosthetic parts of the implant. These are (1) orthodontic extrusion of compromised teeth to generate vertical bone volume and enhance gingival architecture, (2) tooth preservation and postponing orthodontic space opening to maintain bone volume in future implant site, (3) orthodontic implant site switching to eliminate the deficient bone volume or risky implant sites, and (4) the provision of a rigid fixed-bonded retainer to maintain the implant site. Although there are no randomized controlled clinical trials to evaluate the efficacy of orthodontic therapy for implant site development, clinical case reports and experience document the efficacy of orthodontic therapy for this application.

scholarly journals Management of Calcific metamorphosis by conventional Root Canal Treatment. A case report

2020 ◽  
Vol 10 (2) ◽  
pp. 21-25
Author(s):  
Kazi Hossain Mahmud ◽  
Md Ashif Iqbal ◽  
Fida Hasan Talukder
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Traumatic Injury ◽  
Operating Time ◽  
Signs And Symptoms ◽  
Conventional Technique ◽  
Root Canal Treatment ◽  
Spontaneous Pain ◽  
Root Canals ◽  
History Of

The calcified root canals cause many problems during endodontic treatment due to difficulty in canal orifice location, negotiation, preparation as well as consideration of operating time. Most serious problem may arise during any phase of root canal treatment procedure even taking a lot of precaution. Partial or total obliteration of pulpal chamber or root canal space is the most common consequences of a tooth which is exposed to traumatic injury. The most common presentation of such a tooth is complete or partial loss of the pulp space radiographically and discoloration particularly yellow discoloration of the clinical crown. Around 7–27% of teeth having the feature of partial canal calcification shows features of pulp necrosis accompanied by radiographic signs of chronic periapical periodontitis. Very low numbers of teeth( 2-3%) may present with total obliteration of pulp chamber and the root canal system . Teeth with such features is challenging to provide a successful root canal treatment; . In this case report a 21 years old female patient attended with complaints of discoloration , mild spontaneous pain , and several episodes of gingival swelling with history of trauma four years back in her both maxillary central incisors. The case was evaluated clinico radiographically and the diagnosis was a case of calcification both maxillary central incisors. Root canal treatment to manage the calcified canals following conventional technique was planned . After treatment patient was free from subjective and objective signs and symptoms and she was advised for periodic follow-up Update Dent. Coll. j: 2020; 10 (2): 21-25

scholarly journals Microapical surgery management of root resorption in anterior teeth caused by dental trauma: case report

STEMedicine ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. e115
Author(s):  
Jiang Wang ◽  
Yang Yang ◽  
Yingjie Wang ◽  
Yanli Liu ◽  
Yongjin Chen ◽  
...  
Keyword(s):  
Root Resorption ◽  
Dental Trauma ◽  
Complete Healing ◽  
Root Canal Therapy ◽  
Anterior Teeth ◽  
Root Absorption ◽  
Trauma Case ◽  
History Of ◽  
Dental Injuries

Root resorption (RR) is a common complication of traumatic dental injuries (TDIs), which could result in tooth loss and affect life in severe cases. The management of a traumatized tooth with RR remains a challenge for clinicians. In our presented cases, the impacted teeth had a history of trauma and underwent thorough non-surgical endodontic treatment; however, RR still occurred months later and could be observed through a periapical radiograph. Therefore, root canal therapy was performed under a dental microscope with a quick-setting calcium silicate cement to repair the RR site. After a long follow-up, the affected teeth showed almost complete healing of the periradicular tissues without sign of RR. This report demonstrates that external root absorption is typically a consequence of traumatized teeth. However, to date, there is still no effective method for its treatment. Here, we successfully applied microscopical surgery to the traumatized teeth experiencing root absorption and provided them with a new healing opportunity.

Conservative management of root-fractured primary incisor – case report

2018 ◽  
Vol 23 (4) ◽  
Author(s):  
Agnieszka Bruzda-Zwiech ◽  
Natalia Ciesielska ◽  
Joanna Szczepańska
Keyword(s):  
Primary Teeth ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Traumatic Injury ◽  
Treatment Method ◽  
Primary Dentition ◽  
Primary Tooth ◽  
Traumatic Injuries ◽  
The Difference ◽  
Foot Fractures

Most frequent trauma to primary dentitions are injures to the supporting tissue i.e. luxations, but root fractures are relatively uncommon. The difference in the trauma pattern favoring luxation rather than fracture has been found to be typical for the primary dentition, since the elasticity of the alveolar bone surrounding the primary teeth is high and primary tooth held in alveolar socket is less strong. Incidence of foot fractures increases at the age of 3-4 years where physiologic root resorption has begun, thereweakening the root. Traumatic injuries to the primary dentition present special problems and the management is often different as compared with the permanent dentition. Because of potential sequelae of trauma to primary teeth, a treatment method that minimizes any additional risks of further damage to the permanent successors should be selected. The report presents a case of 3.5 year-old boy after traumatic injury – extrusion of tooth 51, which required surgical treatment, and apical third horizontal root fracture of tooth 61 treated conservatively. Written consent from subject’s parents/subject’s legal guardians was obtained. Root-fractured primary tooth has been followed clinically and radiographically for 3.5 year, till advanced root resorption. Presented case and cases described in cited literature demonstrate that conservative treatment of root-fractured primary teeth is a favorable method of the treatment that allows the teeth to function naturally until the term of physiological resorption and exfoliation.

scholarly journals Morphometric evaluation of changes in the alveolar bone and roots of the maxillary anterior teeth before and after en masse retraction using cone-beam computed tomography

2012 ◽  
Vol 83 (2) ◽  
pp. 212-221 ◽  
Author(s):  
Hyo-Won Ahn ◽  
Sung Chul Moon ◽  
Seung-Hak Baek
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Three Dimensional ◽  
Cone Beam ◽  
Anterior Teeth ◽  
Labial Side ◽  
En Masse Retraction ◽  
Total P

ABSTRACT Objective: To evaluate the morphometric changes in the alveolar bone and roots of the maxillary anterior teeth (MXAT) after en masse retraction with maximum anchorage (EMR-MA). Materials and Methods: The samples consisted of 37 female adult patients who had Class I dentoalveolar protrusion (CI-DAP) and were treated by extraction of the first premolars and EMR-MA. Using three-dimensional cone-beam computed tomography taken before treatment and after space closure, the maxillary central incisors (MXCI, N  =  66), lateral incisors (MXLI, N  =  69), and canines (MXC, N  =  69) were superimposed using individual reference planes. After alveolar bone area (ABA), vertical bone level (VBL), root length (RL), root area (RA), and prevalence of dehiscence (PD) were measured at the cervical, middle, and apical levels, statistical analyses were performed. Results: On the palatal side, ABA significantly decreased in all levels of MXAT (P &lt; .001; middle of MXC, P &lt; .01). MXCI and MXLI exhibited a greater decrease in the ratio of change in palatal ABA than did MXC (cervical, P &lt; .01; middle and apical, P &lt; .05; total, P &lt; .001). Palatal/labial ABA ratios decreased in MXCI (cervical, middle, total, P &lt; .001; apical, P &lt; .05) and MXLI (cervical, P &lt; .001; apical, P &lt; .05). They showed greater amounts and ratios of change in VBL on the palatal side compared to the labial side (all P &lt; .001). The palatal side showed more PD in the cervical area than did the labial side (MXCI and MXLI, P &lt; .001; MXC, P &lt; .01). Significant root resorption occurred in MXAT (RL and RA, all P &lt; .001). Conclusions: During EMR-MA in cases with CI-DAP, ABA and VBL on the palatal side and RL and RA of MXCI and MXLI were significantly decreased.

scholarly journals Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Anita Thakur ◽  
Seema Thakur
Keyword(s):  
Alveolar Bone ◽  
Case Reports ◽  
Traumatic Injury ◽  
Radiographic Evaluation ◽  
Root Fracture ◽  
Anterior Teeth ◽  
Removable Prosthesis ◽  
Tooth Number ◽  
Dentoalveolar Trauma ◽  
Mouth Rinsing

Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.

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