scholarly journals Endodontic and Prosthetic Management of a Mid-Root and Crown Fracture of a Maxillary Central Incisor

2014 ◽  
Vol 18 (3) ◽  
pp. 144-149
Author(s):  
Vasiliki P. Koidou ◽  
Theodoros Lambrianidis
Keyword(s):  
Tissue Formation ◽  
Central Incisor ◽  
Term Survival ◽  
Maxillary Central Incisor ◽  
Gutta Percha ◽  
Appropriate Treatment ◽  
Root Fractures ◽  
Horizontal Root Fracture

SUMMARYRoot fractures are relatively uncommon among other dental traumas and mostly affect the anterior dentition. This case report presents the endodontic and prosthodontic management of a maxillary central incisor with a combined fracture in the middle third of the root and the crown, as well as the 7-year follow up of the case. The healing potential of a horizontal root fracture in the middle third of the root is highlighted when appropriate treatment is applied. MTA used for obturation of the coronal fragment, induced hard tissue formation apically and promoted healing in the area, while the 2mm MTA left as apical barrier at the second stage of re-treatment and obturation with gutta-percha prevented its extrusion. The multidisciplinary approach in the management of such cases ensures a long term survival.

scholarly journals Interdisciplinary management of an impacted dilacerated maxillary central incisor

2018 ◽  
Vol 23 (3) ◽  
pp. 37-46
Author(s):  
Harpreet Singh ◽  
Pranav Kapoor ◽  
Poonam Sharma ◽  
Pooja Dudeja ◽  
Raj Kumar Maurya ◽  
...  
Keyword(s):  
Interdisciplinary Approach ◽  
Longitudinal Axis ◽  
Interdisciplinary Management ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Computed Tomographic ◽  
Long Term Follow Up ◽  
Root Treatment

ABSTRACT Introduction: Tooth dilacerations are dental anomalies characterized by an abrupt deviation in the longitudinal axis of a tooth. They may occur either in the crown, between the crown and root, or in the root. Although not so common, impacted maxillary incisors exhibiting root dilaceration pose a diagnostic and treatment challenge to the clinician. Description: This case report describes the management of a horizontally impacted and dilacerated maxillary central incisor in a 12-year-old girl. Cone-beam computed tomographic scans were used to accurately localize the position of the dilacerated tooth, and to assess the extent of root formation and degree of dilaceration present in the root. Treatment included surgical exposure and orthodontic traction, followed by root canal treatment and apicoectomy. Results: Through a meticulously planned interdisciplinary approach, the impacted dilacerated central incisor was properly aligned and demonstrated good stability after the long-term follow-up. Conclusion: Taking into consideration the concerns and expectations of the patient, communicative feedback between the oral surgeon, orthodontist and endodontist helped achieving successful esthetic, structural and functional outcome in the present case.

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 Replantation of an avulsed permanent anterior tooth

2015 ◽  
Vol 5 (1) ◽  
pp. 30-34
Author(s):  
Md Abdul Hannan Sheikha ◽  
Fahd A A Karim ◽  
Asma Sultana ◽  
Tazdik G Chowdhury ◽  
AHM Zakir Hossain Shikder ◽  
...  
Keyword(s):  
Zinc Oxide ◽  
Case Report ◽  
Central Incisor ◽  
Incisor Tooth ◽  
Maxillary Central Incisor ◽  
Gutta Percha ◽  
Dental Office ◽  
Bonded Composite ◽  
Composite Restoration

This case report describes a case of avulsed left maxillary central incisor tooth which was replanted in the dental office. The tooth was gently rinsed of any debris and placed in normal saline during the examination and preparation of the replantation socket. The tooth was replanted and functionally splinted. The following week the tooth was opened for pulp extirpation and placement of calcium hydroxide. Two weeks later, the root canal was filled with gutta-percha and zinc oxide eugenol sealer, and the access cavity was restored with a bonded composite restoration; the splint was removed. Two year clinical and radiological follow up of the case showed ankylosis and infraocclusion of the replanted toothUpdate Dent. Coll. j: 2015; 5 (1): 30-34

scholarly journals Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Ersan Çiçek ◽  
Neslihan Yılmaz ◽  
Mustafa Murat Koçak
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Radiographic Findings ◽  
Maxillary Central Incisor ◽  
Central Tooth ◽  
Root Fractures ◽  
The Right ◽  
Dental Injuries

Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors.Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation.Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal.Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.

Fractured Maxillary Central Incisor Restoration with Fragment Reattachment: A 2 Year Follow-up Case Report

2010 ◽  
Vol 4 (1) ◽  
pp. 22-25
Author(s):  
Basavaprabhu Akkareddy ◽  
Shantanu Choudhari ◽  
Sadanand Kulkarni ◽  
Sudesh Kataria
Keyword(s):  
Case Report ◽  
Resin Composite ◽  
Dental Trauma ◽  
Resin Cement ◽  
Central Incisor ◽  
Bonding Agents ◽  
Maxillary Central Incisor ◽  
Anterior Teeth

ABSTRACT Injury to anterior teeth is a relatively common event. Dentists are confronted with managing dental trauma and restoring fractured teeth on a regular basis. Hence the technique that speed and simplify treatment, restore esthetics and improve long term success rate are therefore of potential value and should be considered. If an intact tooth fragment is present after trauma, the incisal edge reattachment procedure presents a conservative, simple and esthetic alternative. Clinical trials have reported that reattachment using modern dentine bonding agents and resin system may achieve a functional and esthetic success. This article presents with a case report of restoration of fractured maxillary central incisor using fragment reattachment in a 12 year old child. The reattachment was carried out using resin cement followed by additional chamfer on buccal surface which was restored with resin composite. The reattached fragment was found to be intact at a 2 year follow-up visit.

scholarly journals Combined Management of Apical Root Fracture and Avulsion of Two Maxillary Permanent Central Incisors: A Case Report

2021 ◽  
Vol 9 (4) ◽  
pp. 39
Author(s):  
Giulia Bardini ◽  
Davide Musu ◽  
Silvia Mezzena ◽  
Claudia Dettori ◽  
Elisabetta Cotti
Keyword(s):  
Single Type ◽  
Tissue Formation ◽  
Root Fracture ◽  
Traumatic Injuries ◽  
Maxillary Central Incisor ◽  
Multiple Treatment ◽  
Periodontal Tissues ◽  
Root Fractures ◽  
Combined Injuries

As a result of a skiing accident, a ten-year-old girl suffered combined injuries to both maxillary central incisor teeth (#1.1 and #2.1). The injuries were uncomplicated crown fractures, apical horizontal root fractures, and a severe extrusive luxation of the coronal segments of the teeth. Her mother repositioned the teeth immediately, resulting in good initial healing. Nine months later, the patient was referred to a specialist to manage the endodontic consequences of the trauma. The apexification treatment of the fractured roots, using a preformed apical barrier technique with bioactive cement, was the treatment of choice, administered to both the avulsed roots at two separate recall visits. The best option for managing the fractured apical segments was to continue with the follow-up, which was conducted to assess the overall case at 30 months. The fractured apexes remained normally positioned inside the socket and were asymptomatic (as they presumably maintained a physiological vascular-nerve supply and, consequently, their vitality), while the apexification treatment led to the healing of the periodontal tissues and to hard tissue formation in the area of the interrupted roots in the avulsed portion of the teeth. The management of traumatic injuries in teeth often requires multiple treatment approaches, because these injuries rarely represent one single type of trauma.

Surgical reconstruction for unilateral iliac artery lesions in patients younger than 50 years

VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 474-481 ◽  
Author(s):  
Radak ◽  
Babic ◽  
Ilijevski ◽  
Jocic ◽  
Aleksic ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Limb Salvage ◽  
Iliac Artery ◽  
Graft Patency ◽  
Long Term Results ◽  
Surgical Reconstruction ◽  
Safe Procedure ◽  
Term Survival

Background: To evaluate safety, short and long-term graft patency, clinical success rates, and factors associated with patency, limb salvage and mortality after surgical reconstruction in patients younger than 50 years of age who had undergone unilateral iliac artery bypass surgery. Patients and methods: From January 2000 to January 2010, 65 consecutive reconstructive vascular operations were performed in 22 women and 43 men of age < 50 years with unilateral iliac atherosclerotic lesions and claudication or chronic limb ischemia. All patients were followed at 1, 3, 6, and 12 months after surgery and every 6 months thereafter. Results: There was in-hospital vascular graft thrombosis in four (6.1 %) patients. No in-hospital deaths occurred. Median follow-up was 49.6 ± 33 months. Primary patency rates at 1-, 3-, 5-, and 10-year were 92.2 %, 85.6 %, 73.6 %, and 56.5 %, respectively. Seven patients passed away during follow-up of which four patients due to coronary artery disease, two patients due to cerebrovascular disease and one patient due to malignancy. Limb salvage rate after 1-, 3-, 5-, and 10-year follow-up was 100 %, 100 %, 96.3 %, and 91.2 %, respectively. Cox regression analysis including age, sex, risk factors for vascular disease, indication for treatment, preoperative ABI, lesion length, graft diameter and type of pre-procedural lesion (stenosis/occlusion), showed that only age (beta - 0.281, expected beta 0.755, p = 0.007) and presence of diabetes mellitus during index surgery (beta - 1.292, expected beta 0.275, p = 0.026) were found to be significant predictors of diminishing graft patency during the follow-up. Presence of diabetes mellitus during index surgery (beta - 1.246, expected beta 0.291, p = 0.034) was the only variable predicting mortality. Conclusions: Surgical treatment for unilateral iliac lesions in patients with premature atherosclerosis is a safe procedure with a low operative risk and acceptable long-term results. Diabetes mellitus and age at index surgery are predictive for low graft patency. Presence of diabetes is associated with decreased long-term survival.

Role of Closed Mitral Commissurotomy for Mitral Stenosis: Mid- and Long-term Surgical Outcome of 36 Patients

2005 ◽  
Vol 8 (1) ◽  
pp. 55 ◽  
Author(s):  
Azman Ates ◽  
Yahya �nl� ◽  
Ibrahim Yekeler ◽  
Bilgehan Erkut ◽  
Yavuz Balci ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Stenosis ◽  
Operating Time ◽  
Term Survival ◽  
Long Term Outcome ◽  
Mitral Commissurotomy ◽  
Closed Mitral Commissurotomy

Purpose: To evaluate long-term survival and valve-related complications as well as prognostic factors for mid- and long-term outcome after closed mitral commissurotomy, covering a follow-up period of 14 years. Material and Methods: Between 1989 and 2003, 36 patients (28 women and 8 men, mean age 28.8 6.1 years) underwent closed mitral commissurotomy at our institution. The majority of patients were in New York Heart Association (NYHA) functional class IIB, III, or IV. Indication for closed mitral commissurotomy was mitral stenosis. Closed mitral commissurotomy was undertaken with a Tubbs dilator in all cases. Median operating time was 2.5 hours 30 minutes. Results: After closed mitral commissurotomy, the mitral valve areas of these patients were increased substantially, from 0.9 to 2.11 cm2. No further operation after initial closed mitral commissurotomy was required in 86% of the patients (n = 31), and NYHA functional classification was improved in 94% (n = 34). Postoperative complications and operative mortality were not seen. Follow-up revealed restenosis in 8.5% (n = 3) of the patients, minimal mitral regurgitation in 22.2% (n = 8), and grade 3 mitral regurgitation in 5.5% (n = 2) patients. No early mortality occurred in closed mitral commissurotomy patients. Reoperation was essential for 5 patients following closed mitral commissurotomy; 2 procedures were open mitral commissurotomies and 3 were mitral valve replacements. No mortality occurred in these patients. Conclusions: The mitral valve area was significantly increased and the mean mitral valve gradient was reduced in patients after closed mitral commissurotomy. Closed mitral commissurotomy is a safe alternative to open mitral commissurotomy and balloon mitral commissurotomy in selected patients.

Solitary median maxillary central incisor syndrome (SMMCI): A 4-year evaluation

2018 ◽  
Author(s):  
Michael Atar ◽  
Egbert Körperich
Keyword(s):  
Birth Defects ◽  
Brain Function ◽  
Present Report ◽  
Central Incisor ◽  
Developmental Abnormalities ◽  
Maxillary Central Incisor ◽  
Medical Issues ◽  
Long Term Prognosis

The present report follows the case of a young boy with solitary median maxillary central incisor (SMMCI) syndrome between the ages of 4 and 7 years. This condition is characterized by the presence of one single maxillary central incisor in the midline instead of two central incisors. No other developmental abnormalities involving growth or brain function were noted at, or subsequent, to birth. This report includes a discussion of the aetiology of SMMCI syndrome and its association with birth defects such as holoprosencephaly (HPE), CHARGE and VACTERL, as well as a discussion of the long-term prognosis and associated dental and medical issues for this particular patient

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