scholarly journals POST-TRAUMA ROOT FRACTURE IN TEETH WITH INCOMPLETE ROOT DEVELOPMENT: A CASE REPORT

2017 ◽  
Vol 10 (11) ◽  
pp. 1
Author(s):  
Mehmet Sinan DoĞan ◽  
Diah Ayu Maharani ◽  
Lindawati S Kusdhany ◽  
Melİssa Adİatman ◽  
Izzet Yavuz
Keyword(s):  
Root Development ◽  
Dental Trauma ◽  
Study Finding ◽  
Permanent Teeth ◽  
Root Fracture ◽  
Recovery Potential ◽  
Orthodontic Wire ◽  
Root Fractures ◽  
Primary Canine

  Objective: Oblique root fractures consist of multiple, angled fracture lines extending from the root canal to the periodontal membrane along the long axis of the tooth. Oblique root fractures are injuries with poor prognosis which are rarely observed in teeth in which the root development is complete.Methods: A clinical and radiological inspection was performed of an eight-year-old patient who presented at our clinic for dental trauma. Luxation and oblique sectional root fractures in the maxillary incisors were found. The patient’s root development was incomplete. He was treated with dental reposition. Fixation to the adjacent primary canine teeth was carried out using a 0.4 mm full circle orthodontic wire for fractured teeth with a semi-rigid splint. Stabilization of the teeth was ensured to protect the vitality of the fractured teeth. A splint was inserted under local anaesthesia and removed a month later.Results: The absence of pathological symptoms was determined radiologically and clinically. It was shown during a radiological examination of the patient a year later that root development inthe teeth with a root fracture had continued. There were no pathological complications.Conclusion: The current study finding of high recovery potential in young permanent teeth with root fracture is supported by those of other studies in the literature. Recovery in this case was successful because the patient presented timeously at the clinic after the trauma, there was a lack of infection, and the splint was only in situ for a month.

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 Surgical Management of Horizontal Root Fracture with Platelet Rich Fibrin (PRF) Placement: Case Report of Two Cases

2013 ◽  
Vol 01 (02) ◽  
pp. 125-128
Author(s):  
Parul Bansal ◽  
Kalpana Kanyal ◽  
Vineeta Nikhil
Keyword(s):  
Case Report ◽  
Tissue Regeneration ◽  
Surgical Approach ◽  
Permanent Teeth ◽  
Periodontal Tissue ◽  
Root Fracture ◽  
Platelet Rich Fibrin ◽  
Periodontal Tissue Regeneration ◽  
Root Fractures ◽  
Horizontal Root Fracture

AbstractRadicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5 - 7% of the cases. Horizontal root fractures can be managed endodontically or combined endodontic and surgical approach. Treatment varies according to the displacement and vitality of the fragments. This paper presents a case report of two cases of horizontal root fracture, present between the middle and apical third of central incisors, which were managed by combined endodontic and surgical approach, while in second case it was followed by PRF placement to facilitate osteoinduction and periodontal tissue regeneration.

scholarly journals A rare case of an immature incisor with horizontal root fracture traumatized at the time of eruption

2018 ◽  
Vol 8 (2) ◽  
pp. 93-95
Author(s):  
Merve Erkmen Almaz ◽  
Işıl Şaroğlu Sönmez ◽  
Aylin Akbay Oba
Keyword(s):  
Rare Case ◽  
Color Change ◽  
Dental Trauma ◽  
Rare Condition ◽  
Permanent Teeth ◽  
Maxillary Incisor ◽  
Root Fracture ◽  
Immature Teeth ◽  
Native Speakers Of English ◽  
Horizontal Root Fracture

Dental trauma resulting in root fracture is a rare condition that affects up to 7% of permanent teeth, and injury to immature teeth is even rarer. This case report aimed to show the prognosis of a horizontal root-fractured immature maxillary incisor traumatized at the time of eruption. Because of an accident, a 6-year-old boy was referred to our clinic with horizontal root fracture of the permanent maxillary left central incisor associated with an extrusive luxation. The coronal segment was repositioned, and a dental splint was applied for 7 weeks. After 48 months, clinical examination revealed a positive response to electrical pulp testing and an absence color change of the tooth. Continuation of root development and calcification of the coronal pulp space was observed radiographically. It was concluded that fixation of teeth is a conservative treatment for immature teeth with horizontal root fractures, resulting in the pulp vitality and spontaneous healing with no other treatment.   How to cite this article: Erkmen Almaz M, Şaroğlu Sönmez I, Akbay Oba A. A rare case of an immature incisor with horizontal root fracture traumatized at the time of eruption. Int Dent Res 2018;8(2):94-6.   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Orthodontic repositioning of traumatically intruded permanent incisors - A report of three cases

2021 ◽  
Vol 76 (1) ◽  
pp. 14-21
Author(s):  
Harpreet Singh ◽  
Meenu Mittal ◽  
Poonam Sharma ◽  
Ashok Kumar ◽  
Pranav Kapoor
Keyword(s):  
Root Development ◽  
Root Resorption ◽  
Tooth Development ◽  
Interdisciplinary Approach ◽  
Permanent Teeth ◽  
Gingival Tissue ◽  
Marginal Bone Loss ◽  
Root Fracture ◽  
Traumatic Dental Injuries ◽  
Dental Injuries

Intrusive luxation of permanent teeth is one of the most serious traumatic dental injuries involving damage to the gingival tissue, periodontal ligament, cementum, bone and to the neurovascular supply of the pulp. In addition to disruption of normal tooth development and eruption, it can also lead to pulpal necrosis, root resorption and marginal bone loss. Based on the extent/severity, intrusion maybe classified into mild (<3 mm), moderate (3-6mm) and severe (>6mm). Available techniques for managing intrusive luxation include a wait-and-watch approach to allow for spontaneous re-eruption, orthodontic traction and surgical repositioning. The type of treatment approach employed depends upon the stage of root development, severity of intrusive luxation and the presence or absence of alveolar fractures. It is difficult to predict reliable outcomes with these approaches, since the presence of variables such as the severity of intrusion, associated crown/root fracture, stage of root development and presence of alveolar fractures may alter the prognosis. The present article presents a series of three cases with intrusive luxation of permanent incisors successfully treated using an interdisciplinary approach involving orthodontic traction along with endodontic rehabilitation.

scholarly journals Management of Crown-Root Fracture in Primary Canine by Surgical Extrusion: A Case Report with 1-Year Follow-Up

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
I. Kanimozhi ◽  
Mahesh Ramakrishnan ◽  
Dhanalakshmi Ravikumar ◽  
Ningthoujam Sharna
Keyword(s):  
Case Report ◽  
Alveolar Bone ◽  
Primary Tooth ◽  
Root Fracture ◽  
Crown Root ◽  
Pediatric Dentist ◽  
Root Fractures ◽  
One Year ◽  
Primary Canine

Complicated crown-root fractures of primary teeth often present with a greater challenge to the pediatric dentist. Extraction of the involved tooth is the routine treatment indicated. But, early loss of this primary tooth may lead to esthetic and psychological problems and also causes a detrimental effect on the development of occlusion and the alveolar bone. The present case report described the management of crown-root fracture in a primary canine by surgical extrusion and showed a satisfactory prognosis at one-year follow-up.

scholarly journals Non-Vital Root Submergence for Preservation of Socket in an Adolescent - A Rare Case Report

2021 ◽  
Vol 10 (19) ◽  
pp. 1448-1450
Author(s):  
Neeta S. Padmawar ◽  
Rachita G. Mustilwar ◽  
Viddyasagar P. Mopagar ◽  
Sourabh R. Joshi ◽  
Vinay H. Vadvadgi ◽  
...  
Keyword(s):  
Bone Loss ◽  
Alveolar Bone ◽  
Treatment Plan ◽  
Treatment Options ◽  
Dental Trauma ◽  
Fracture Line ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Root Fracture ◽  
Crown Root

Complex crown root fracture has been reported to be 5 % among the traumatic injuries to permanent teeth. In children, when fracture line extended sub gingivally, the treatment option remained was the extraction of tooth. This extraction led to alveolar bone loss and compromised the outcome of final prosthesis. Root submergence is one of the treatments options which can prevent bone loss and prepare future pontic site in a better way. In children, this technique can prevent not only bone loss but also the occurrence of space loss and development of tongue thrusting habit. Crown-root fracture is defined as a fracture involving enamel, dentin and cementum. It is reported in about 5 % of dental trauma to young children where root completion has not occurred.1 Treatment of these complex tooth fractures in aesthetic zone in growing age is always challenging for the paedodontists. The treatment should not interfere with the growth and development. Depending upon the extension of the fracture line which can result in exposure of the pulpal tissue, the crown-root fracture can be divided into two groups: complicated and uncomplicated. 2 Treatment options in cases of complicated crownroot fractures are complex, and require a multidisciplinary approach. Dental traumatology guideline and American Academy of Paediatric Dentistry has suggested fragment reattachment, orthodontic or surgical extrusion of apical portion followed by post placement, root submergence and extraction. 3 Factors like extension and direction of fracture line, pulpal involvement, tooth maturity and the length of root remaining in the alveolus govern the treatment choice. 4,5 Among above mentioned factors, position of facture line is the most important. As in case of subgingival facture line, risk of bacterial contamination is present and further this may result in gingival inflammation.6 When crown root fracture to permanent tooth occurs in mixed dentition period, goals of treatment are to preserve the tooth in arch without disturbing the growth & development of root and arch. But in case of complicated crown root fracture, when extraction is the only choice of treatment, future complications like space loss, crowding, habits like tongue thrusting and importantly loss of alveolar bone height should be kept in mind. Goals of treatment plan in such cases should be elimination of space loss, development of deleterious habit and maintenance of alveolar ridge for future pontic or implant site. Root submergence is the technique with which we can achieve these goals, keeping this in mind this case was planned and reported.

Multidisciplinary Approach to Complicated Crown-root Fracture Treatment: A Case Report

2021 ◽  
Author(s):  
MD Alves ◽  
MA Tateyama ◽  
NNO Pavan ◽  
AF Queiroz ◽  
MCP Nunes ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Dental Trauma ◽  
Good Prognosis ◽  
Root Fracture ◽  
Crown Root ◽  
Root Fractures ◽  
Viable Approach ◽  
Biologic Width ◽  
Composite Restoration

SUMMARY Treatment of complicated crown-root fractures is one of the most challenging within the various types of dental trauma and requires a multidisciplinary approach. This paper reports the complicated crown-root fracture of a maxillary right central incisor, in which there was esthetic, functional, and biologic (endodontic and biologic width invasion) involvement. A 15-year-old male patient presented to the dental clinic one month after suffering trauma with a complicated crown-root fracture on tooth 8. The patient had previously undergone endodontic treatment and was sent to have periodontal surgery to reestablish the biological width on the palatal surface. Following the surgery, a fiberglass post was cemented, and the fragment was reattached. This approach allows the exposure of the cervical margin, adequate isolation, and subsequent fragment reattachment in the same clinical appointment. Fragment reattachment is a viable approach as it is a simple and conservative procedure that restores the natural esthetic of the tooth and has superior resistance compared to a composite restoration. The patient’s cooperation in understanding the limitations of the treatment and maintaining adequate oral hygiene are very important to achieving a good prognosis of the case. After a 2-year clinical and radiographic follow-up period, the clinical protocol was found to be successful, and the tooth remained functional, esthetically favorable and asymptomatic.

Management of trauma to the anterior segment of the maxilla: alveolar fracture and primary incisors crown and root fracture

2021 ◽  
Vol 33 (2) ◽  
pp. 16-20
Author(s):  
Muna S Khalaf ◽  
Bayan S Khalaf ◽  
Shorouq M Abass
Keyword(s):  
Soft Tissue ◽  
Primary Teeth ◽  
Alveolar Bone ◽  
Anterior Segment ◽  
Dental Trauma ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Normal Position ◽  
Anterior Teeth ◽  
The Impact

Background: An injury to both the primary and permanent teeth and the supporting structures is one of the most common dental problems seen in children. Splinting is usually difficult or impossible to perform in the primary dentition (due to diminutive room size and lack of patient cooperation). Healing must, therefore, occur despite mobility at the fracture line, usually resulting in interposition of connective tissue. In some instances, infection will occur in the coronal pulp. The present study reported a case of trauma to the anterior primary teeth and alveolar bone in a four year old child. The trauma has caused fracture to the crowns and roots of the primary anterior teeth. The following case was managed in a procedure that may provide primary teeth subjected to trauma a better chance than extraction with a better prognosis. Case presentation: a 4 and a half year old child was subjected to trauma in anterior segment of maxilla. Suturing of the torn soft tissue was the first step followed by pulpotomy for the left primary lateral incisor. Fixation of the right primary central and lateral incisors was done by acid etch wire fixation. Both clinical and radiographic follow up was carried out for 6.4 years. Results: healing of the soft tissue was observed after one week and completed after two months. Fixation of the teeth continued for ten months. The fracture lines in the roots remained in position. Clinically there was no sign of any pulpal inflammation or necrosis. Radiographically, no signs of infection to the surrounding tissues could be seen, no resorption in the alveolar bone, external or internal resorption of the root did not happen also. After ten months fixation ended and the wire was removed. At that time there was normal resorption of the roots of the primary incisors in relation with the normal development of the permanent incisors. After 3 years both permanent central incisors erupted in their normal position. After 6.4 years all four permanent incisors erupted into occlusion in their normal position. Conclusion: primary teeth with root fractures and severely mobile coronal fragments can be treated by a conservative approach. The severity of the sequels is directly related to the degree of permanent tooth formation (child’s age), type of dental trauma and extent of the impact. Key words: trauma, primary incisors, fractured crown and root

Profiles of Trauma in Primary and Permanent Teeth of Children and Adolescents

2019 ◽  
Vol 43 (1) ◽  
pp. 5-10
Author(s):  
Jackeline Nogueira de Paula Barros ◽  
Thayssa Augusto Assis de Araújo ◽  
Thais Rodrigues Campos Soares ◽  
Michele Machado Lenzi ◽  
Patrícia de Andrade Risso ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Dental Trauma ◽  
Permanent Teeth ◽  
Therapeutic Approaches ◽  
Tooth Type ◽  
The Mean ◽  
Dental Records ◽  
Gingival Mucosa ◽  
Tissue Trauma ◽  
Type Of Fracture

This retrospective study aimed to evaluate the dental trauma profile in primary and permanent teeth from patients between 0 and 15 years old who attended the Faculty of Dentistry of the Federal University of Rio de Janeiro. Data regarding gender, age, trauma classification, tooth type, and affected tissues were obtained from dental records. The data were analyzed descriptively and by the χ2 test (p &lt; 0.05). Data associated with 333 traumatized teeth (70% primary and 30% permanent teeth) were included. The mean ages of children with affected primary and permanent teeth were 3.35 ± 2.02 and 9.09 ± 2.43 years, respectively. Males presented more permanent teeth with trauma (64.4%) than primary ones (55.6%; p = 0.085). The upper central incisors, both primary (68.9%) and permanent (69.4%), were the teeth most commonly affected. Primary teeth showed a higher frequency (p &lt; 0.001) of supportive tissue trauma (73.3%) and lower frequency (p = 0.001) of hard tissue trauma (40.7%) than those in permanent ones (51.5% and 60.6%, respectively). The most frequent trauma in the supportive tissue was subluxation (27.2%) and permanent lateral luxation (42.0%). In the hard tissues, permanent teeth presented a higher prevalence of trauma than primary ones (p = 0.001), however this difference was not statistical significant when each type of fracture injury was evaluated individually (p &gt; 0.005). With affected primary teeth, there was a greater frequency of trauma in the gingival mucosa (31.0%; p = 0.022); in the permanent ones, traumatic lesions in the chin region were the most prevalent (20.8%; p = 0.009). Trauma was recurrent in 26.3% of primary teeth and in 20.2% permanent teeth. Therefore, primary and permanent teeth showed distinct trauma profiles, suggesting that distinct preventive and therapeutic approaches are needed for these two groups.

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