Management of a root fracture in an immature permanent tooth

2006 ◽  
Vol 30 (2) ◽  
pp. 127-130 ◽  
Author(s):  
Kenshi Maki ◽  
Takahiro Nishioka ◽  
Reishi Seo ◽  
Mitsusaka Kimura
Keyword(s):  
Permanent Tooth ◽  
Periodontal Therapy ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Adhesive Resin ◽  
Root Fracture ◽  
Pressure Pain ◽  
Collagen Tissue

A 9-year-old girl with trauma to the maxillary right permanent central incisor is reported. Clinically the tooth appeared extruded with one third of the root visible. The radiographic examination revealed a root fracture. The extruded tooth was repositioned and splinted with a heavy wire and adhesive resin, after which a resorbable collagen tissue was placed to cover the buccal region. Subsequent to the injury, swelling was observed and the patient complained of pressure pain in the periapical region of the tooth with no response to electric pulp testing. It was treated successfully with periodontal therapy and endodontic therapy with Vitapex®

scholarly journals Management of traumatically intruded permanent tooth with 30-month follow-up: A case report

2020 ◽  
pp. 45-49
Keyword(s):  
Permanent Tooth ◽  
Treatment Session ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Severe Damage ◽  
Pulp Tissue ◽  
Maxillary Central Incisor ◽  
Favorable Prognosis ◽  
Current Report

Intrusive luxation often results in severe damage to the tooth, periodontium, and pulp tissue. Furthermore, treatment outcome is often unpredictable due to the presence of numerous injury-related variables affecting the treatment option and prognosis. The current report presents the case of a 14-year-old boy with a 9.0 mm intruded permanent right maxillary central incisor with a closed apex which was treated by orthodontic repositioning and root canal treatment with a favorable prognosis. At the last follow-up visit (30 months after the first treatment session), the tooth was asymptomatic, and radiographic examination showed normal periapical and periodontal appearance.

Orthodontic treatment of impacted anterior teeth due to odontomas: a report of two cases

2004 ◽  
Vol 28 (4) ◽  
pp. 289-294 ◽  
Author(s):  
Puneet Batra ◽  
Ritu Duggal ◽  
Om Prakash Kharbanda ◽  
Hari Parkash
Keyword(s):  
Orthodontic Treatment ◽  
Clinical Evidence ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Anterior Teeth ◽  
First Case ◽  
History Of ◽  
The Right

Two cases are presented where the odontomas had caused the impaction of the anterior teeth and required a combined surgical and orthodontic treatment to bring these teeth into the arch. In the first case a large a complex odontome had caused the impaction of the right central incisor, lateral incisor and canine. In the second case a compound odontome blocked the eruption pathway of the right central incisor. It is emphasised that radiographic examination of all pediatric patients that present clinical evidence of delayed permanent tooth eruption or temporary tooth displacement with or without a history of previous dental trauma should be performed. Early diagnosis of odontomas allows adoption of a less complex and less expensive treatment and ensures a better prognosis.

scholarly journals Multidisciplinary Approach for the Treatment of Horizontal Root-Fractured Maxillary Anterior Teeth

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Berkan Celikten ◽  
Ceren Feriha Uzuntas ◽  
Reza Safaralizadeh ◽  
Gulbike Demirel ◽  
Semra Sevimay
Keyword(s):  
Radiographic Examination ◽  
Maxillary Incisor ◽  
Central Incisor ◽  
Long Term Outcome ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Wide Range ◽  
Root Fractures ◽  
The Right

Dental trauma can lead to a wide range of injuries of which crown and root fractures are examples. Crown-root fractures often need complex treatment planning. This case report describes the use of MTA in the multidisciplinary management of a patient with a horizontally fractured central incisor and luxation in a different central incisor. A 42-year-old female patient presented within 1 h of receiving direct trauma to her maxillary area. Clinical examination revealed that the right and left maxillary central incisors presented mobility and sensitivity to percussion and palpation but no sensitivity to thermal stimulations. Occlusal displacement with extrusion in the left maxillary central incisor and luxation in the right maxillary central incisor was observed. Radiographic examination revealed horizontal root fracture at the apical third of the left maxillary central incisor. Root fracture in the right maxillary incisor was not observed. Endodontic and aesthetic restorative treatments were completed. MTA showed a good long-term outcome when used in root-fractured and luxated teeth. In addition, composite resin restoration provided satisfactory aesthetic results even after 15 months.

Impacted Permanent Incisor Associated With Compound Odontoma: Case Report and Literature Review

2021 ◽  
pp. 1-3
Author(s):  
Aicha Ibourk ◽  
◽  
Ihsane Ben Yahya ◽  
Keyword(s):  
Complete Removal ◽  
Odontogenic Tumor ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Impacted Tooth ◽  
Anterior Maxilla ◽  
Jaw Bones ◽  
Recommended Treatment ◽  
Compound Odontoma

Odontoma is defined as calcifying benign odontogenic tumor composed of various tooth tissues such as enamel, dentin, pulp, and cementum and representing the second most common odontogenic tumor of the jaw bones. These lesions are often associated with impacted permanent teeth. They are usually small, asymptomatic and diagnosed after routine radiographic examination. The aim of this work was to report a case of a compound odontoma in the anterior maxilla of a 35-year-old woman, which was causing the impaction of the maxillary left central incisor. A removal of the tumor was planned. An orthodontic approach was proposed as a surgical procedure for orthodontic traction of the impacted tooth. After 12 months, the clinical and radiographic examination revealed the eruption of the impacted incisor. The recommended treatment of compound odontoma is the complete removal of the tumour. An orthodontic approach may be indicated to correct any malocclusion or to perform the traction of the tooth, due to a possible impaction.

Suffocated Maxillary Central Incisors (Surgical and Orthodontic Management): A Report of Two Cases

2021 ◽  
Vol 11 (1) ◽  
pp. 55-60
Author(s):  
Barun Kumar Sah ◽  
Jamal Giri ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Options ◽  
Self Esteem ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Dental Practice ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Multiple Treatment ◽  
Maxillary Incisors

Clinically, supernumerary teeth are able to cause different local disorders and the most common one is impaction of maxillary incisors. Impacted maxillary incisors substantially affect esthetics, function, and self‑esteem of patients. Impaction of maxillary permanent incisor is a rare clinical entity in dental practice. Although impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, an impacted central incisor is usually diagnosed accurately when there is delay in the eruption of tooth. Multiple treatment options are available for impacted incisors. Surgical-orthodontic treatment is one of the alternative option for the correction. Early diagnosis and management of supernumer¬ary teeth is important to prevent the need for more complex surgical and orthodontic treatment. Here, we present a report of two cases of impacted maxillary incisors and its management

scholarly journals Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment

2016 ◽  
Vol 6 (1) ◽  
pp. 52-56
Keyword(s):  
Case Report ◽  
Surface Texture ◽  
Simple Procedure ◽  
Dental Trauma ◽  
Central Incisor ◽  
Fiber Post ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Crown Root ◽  
Anterior Teeth

ABSTRACT Crown fractures of the anterior teeth are a common form of dental trauma mainly affecting children and adolescents. One of the options for managing crown fractures is the reattachment of the fractured fragment when the tooth fragment is available with minimal or no violation of the biological width. Reattachment of fractured fragments can provide good esthetics, as it maintains the tooth's original anatomic form, color, and surface texture. It also restores function and is a relatively simple procedure. This case report deals with the esthetic management of a crown-root fracture that was successfully treated with endodontic treatment followed by reattachment of fractured fragment with fiber post. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment. J Contemp Dent 2016;6(1):52-56.

scholarly journals Permanent maxillary central incisor and first molar rotations in the mixed dentition in repaired complete unilateral cleft lip and palate and their relationship with absence of teeth in their vicinity

2018 ◽  
Vol 88 (5) ◽  
pp. 567-574
Author(s):  
Sunjay Suri ◽  
Suteeta Disthaporn ◽  
Bruce Ross ◽  
Bryan Tompson ◽  
Diogenes Baena ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Alveolar Bone Grafting

ABSTRACT Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar.

Implante imediato e estética imediata em reabilitação de incisivo central superior fraturado – relato de caso

2021 ◽  
Vol 12 (47) ◽  
pp. 8-15
Author(s):  
Tárcio Hiroshi Iskimine Skiba
Keyword(s):  
Clinical Case ◽  
Bovine Bone ◽  
Central Incisor ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Connective Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Aesthetic Aspect ◽  
The Aesthetic ◽  
Immediate Implantation

The use of dental implants in dentistry is becoming increasingly widespread and popular for the treatment of patients with doomed dental elements. The biotechnology applied to the development of macro and micro design of implants allows its use in increasingly borderline beds, such as in post-extraction sockets with reduced bone remainder, and may even allow the making of provisionals in order to confer aesthetics and help in maintenance of support tissues. This paper aims to present a clinical case report of minimally invasive extraction of a maxillary central incisor with root fracture, immediate implantation in a post-extraction socket, subepithelial connective tissue graft and lyophilized bovine bone to fill the GAP, as a pillar installation. angled and immediate provisional. The technique proved to be effective and satisfactory, I try in the aesthetic aspect as to the functional, promoting the health and stability of the adjacent tissues.

scholarly journals LSTR 3 Mix MP Therapy and Conventional Root Canal Therapy: A comparative Clinical & Radiological Study for The treatment outcome of Irreversible Pulpitis In Permanent Tooth

2019 ◽  
Vol 9 (2) ◽  
pp. 20-26
Author(s):  
Shiren Sultana ◽  
Shamima Afroz ◽  
Fahd AA Karim ◽  
Nushrat Saki ◽  
Md Abdul Hannan Sheikh ◽  
...  
Keyword(s):  
Root Canal ◽  
Therapy Group ◽  
Permanent Tooth ◽  
Radiographic Examination ◽  
Root Canal Therapy ◽  
Radiographic Findings ◽  
Group I ◽  
Clinical And Radiological Outcome ◽  
Irreversible Pulpitis ◽  
Observation Period

Background: LSTR therapy is considered as one of the most widely accepted clinical procedure for the treatment of permanent tooth with irreversible pulpitis with minimum destruction of tooth tissue Objective: To evaluate the clinical and radiographic findings of permanent tooth with irreversible pulpitis by LSTR 3Mix MP therapy and compare with conventional root canal therapy. Methods: According to inclusion and exclusion criteria, a total of 40 teeth were enrolled in this study, out of which 20 teeth treated with LSTR 3Mix MP Therapy, (Group-I) and the remaining 20 teeth treated with conventional root canal therapy (Group-2). Clinical and radiological Follow up examinations were performed at 3, 6- and 12-months interval to investigate the incidence of postoperative pain, tenderness to percussion, swelling and periodical radiolucency, collected date was analyzed by using Statistical package for Social Science (SPSS) version 17. Statistical analysis was performed by Chisquare test to assess the difference between the clinical outcome of Group 1 and 2; a value of P<0.05 was considered as statistically significant. Results: At 3 months observation period, LSTR and Conventional root canal therapy showed 100% success rate in treating teeth with irreversible pulpits; neither pain nor any tenderness on percussion or post-operative swelling was observed. Radiographic examination also revealed no sign of radiolucent area. At 6 and 12 months following the completion of the treatment, except in one case in each observation period, there results were similar to that of 3 months. One LSTR (5%) and one conventional (5%) therapy reported pain, tenderness on percussion and swelling with peripical lesion. There were no statistical differences between the two groups (p>0.05). Conclusions: It can be concluded that LSTR 3 Mix MP Therapy proved to be effective in treating teeth with irreversible pulpitis; with similar clinical and radiological outcome to conventional root canal treatment within one-year observation period. Update Dent. Coll. j: 2019; 9 (2): 20-26

An Impacted Malformed Primary Maxillary Central Incisor Diagnosed as a Compound Odontoma.

2008 ◽  
Vol 33 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Dror Aizenbud ◽  
Yael Pery Front
Keyword(s):  
Normal Development ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Permanent Tooth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
History Of ◽  
The Right ◽  
Compound Odontoma ◽  
Early Surgical Intervention

An odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. This report presents a case of an unerupted malformed primary central incisor, histologically diagnosed as a compound odontoma. A 5.5 year-old healthy boy presented with an unerupted maxillary left primary central incisor and mild gingival buccal swelling. No history of traumatic injury was recorded. Radiological examination revealed a tooth-like mass with a partially developed root and a malformed crown in the area of the left primary central incisor. Delayed development of the successor left permanent incisor in comparison to the right one was noted. The rational for early surgical intervention to enable normal development and eruption of permanent incisors is described. Clinical and radiographic diagnoses as well as several etiological factors and a differential diagnosis are considered and reviewed.

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