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 Avulsion and Replantation in Primary Dentition - A Review

2021 ◽  
Vol 10 (9) ◽  
pp. 619-623
Author(s):  
Viddyasagar Prabhakar Mopagar ◽  
Meghana Vasant Phadnis ◽  
Sourabh Ramesh Joshi ◽  
Vikranth Shetty ◽  
Gowri Swaminatham Pendyala
Keyword(s):  
Primary Teeth ◽  
Root Resorption ◽  
Case Reports ◽  
Traumatic Injury ◽  
Primary Root ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Successful Outcome ◽  
Primary Tooth ◽  
Stage Of Development

Avulsion of a primary tooth is a disturbing type of traumatic injury occurring in children. Paediatric dentists are likely to encounter a child with an avulsed primary tooth routinely in their clinical practice. Tooth avulsions are common in permanent teeth. However, avulsions can be seen even in primary teeth. The question of replantation of the avulsed tooth has been a focus of debate and controversy since years. The primary and most important factor in these injuries is to calculate the riskbenefit ratio keeping the underlying permanent tooth in mind. Utmost importance has to be given on the care of development and normal eruptive movements of the succedaneous tooth. This is mandatory if any treatment like replantation is to be done. The amount of primary root resorption, stage of development of the underlying permanent tooth, type of splinting to be done etc. needs a lot of attention. Many authors have given their opinions regarding the replantation of primary teeth based on the type of tooth avulsed. Moreover, the evidence might differ as to whether or not replantation might alter the difficulty levels for the eruption process of succedaneous tooth. There is not much evidence regarding the benefits and risks of replantation post avulsion of primary teeth. However, individual authors have reported a successful outcome in their case reports. This article reports a review on avulsed primary teeth replantation. This would enable the dentists to analyze the risks and benefits associated with replantation, thereby guiding them to arrive at the best clinical decision. KEY WORDS Primary Tooth, Avulsion, Replantation.

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.

Intrusive Luxation in Primary Teeth: A Case Report

2015 ◽  
Vol 39 (3) ◽  
pp. 215-218 ◽  
Author(s):  
A Mendoza-Mendoza ◽  
E González-Mallea ◽  
A Iglesias-Linares
Keyword(s):  
Primary Teeth ◽  
Alveolar Bone ◽  
Permanent Tooth ◽  
Traumatic Injuries ◽  
Apical Direction ◽  
Bone Damage ◽  
Close Relationship ◽  
The Right ◽  
Development Methods ◽  
Rule Out

Background: Intrusive luxation, also called central dislocation, is often the result of an axial impact in the apical direction, moving the tooth within the alveolar bone. This is possibly one of the most traumatic injuries, since the displacement of a tooth within its socket implies extensive and acute involvement of the periodontal ligament, bone damage and rupture of the neurovascular bundle. The close relationship between the apexes of the primary teeth and the developing permanent successor in turn can lead to multiple complications, which are greater when the permanent tooth is affected in the early stages of development. Methods: The present paper describes a case of intrusion in primary teeth and its evolution following initial diagnosis as avulsion at the time of trauma. Results: The upper right central incisor, initially diagnosed as avulsed, was lodged in the floor of the right nostril, and was surgically extracted through the nose. Conclusions: In cases of intrusion of primary teeth, it is essential to diagnose the direction of the displaced tooth to rule out injury to the successor and thus prevent the occurrence of sequelae in the permanent dentition.

scholarly journals An Uncommon Tooth Fusion of Mandibular Primary Lateral Incisor with Canine

2021 ◽  
Vol 11 (1) ◽  
pp. 106-109
Author(s):  
Saleh Ali AlKlayb ◽  
Darshan Devang Divakar
Keyword(s):  
Primary Teeth ◽  
Treatment Plan ◽  
Primary Dentition ◽  
Lateral Incisor ◽  
Primary Tooth ◽  
Space Management ◽  
Tooth Germs ◽  
Primary Lateral ◽  
Prompt Diagnosis

Fusion is a congenital disturbance affecting primary dentition mostly during morpho differentiation of the primary tooth germs. Fusion leads to the union of two or more primary teeth by the enamel and dentin while the pulp and roots remain separate. These abnormalities may be unilateral or bilateral. Prompt diagnosis and a treatment plan in such anomalies may help to overcome problems concerning aesthetics, caries susceptibility and space management. This report describes a case of unilateral fusion of the primary mandibular lateral incisor and canine and aims to evaluate any associated pathology.

ROTARY ENDODONTICS IN PEDIATRIC DENTISTRY- A COMPREHENSIVE REVIEW

2021 ◽  
pp. 9-11
Author(s):  
Thakur Anita ◽  
Thakur Seema
Keyword(s):  
Primary Teeth ◽  
Pediatric Dentistry ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Primary Tooth ◽  
Comprehensive Review ◽  
Pulp Therapy ◽  
Functional Part

The goal of pulp therapy in the primary dentition is to retain the primary tooth as a fully functional part of the dentition, allowing at the same time for mastication, phonation, swallowing, and the preservation of the space required for the eruption of the permanent 1,2 tooth . The premature loss of primary teeth may cause changes in the chronology and sequence of eruption permanent teeth. Maintenance of primary teeth until physiological exfoliation prevents deleterious 3 habits in children .

scholarly journals Malpositioned canine treatment with autotransplantation and laser

2017 ◽  
Vol 11 (03) ◽  
pp. 395-397
Author(s):  
Serap Keskin Tunc ◽  
Mehmet Savas Kayasan ◽  
Esma Ozeroglu ◽  
Cennet Neslihan Eroglu
Keyword(s):  
Bone Growth ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Steel Wire ◽  
Growth Potential ◽  
Primary Tooth ◽  
Decayed Tooth ◽  
Children And Young Adults ◽  
The One

ABSTRACTChildren and young adults often have tooth loss due to congenital tooth deficiency, trauma, or caries. Autotransplantation has many benefits. The transplanted tooth can be moved orthodontically, maintains alveolar bone growth potential during eruption, and functional periodontal ligament function also permits tooth eruption, allows the defected areas to be filled with the bones; gingival contour is much more successful than the one obtained with prosthesis. In this paper, treatment steps and follow-up results of autotransplantation case supported with biostimulation are mentioned. A 14-year-old female patient was admitted to the clinic with a complaint of decayed tooth 53 and malposed tooth 13. Mobile primary tooth was pulled out, and the socket was shaped with surgical drills. By performing transplantation of ectopic canine, splint was applied with steel wire and composite. Diode laser was used to provide deep disinfection of canals. The patient underwent low-dose laser therapy for biostimulation immediately after these procedures. We did not encounter any ankylosis, root resorption, periodontal, or functional problems in our evaluation with computed tomography after 3 years follow-up of the patient.

Alveolar bone loss in the primary dentition

2005 ◽  
Vol 29 (2) ◽  
pp. 139-142 ◽  
Author(s):  
Viviane Santos da Silva Pierro ◽  
Ivete Pomarico Ribeiro de Souza
Keyword(s):  
Bone Loss ◽  
Young Children ◽  
Primary Teeth ◽  
Alveolar Bone ◽  
Alveolar Bone Loss ◽  
Primary Dentition ◽  
Systemic Diseases

Alveolar bone loss has been reported in primary teeth of healthy young children with a variable prevalence. This study aimed to review the literature on alveolar bone loss in the primary teeth of children without systemic diseases and to discuss the controversies with regard to the prevalence of this pathology in the primary dentition. J Clin Pediatr Dent 29(2): 139-142, 2004

scholarly journals Apoptosis in pulp elimination during physiological root resorption in human primary teeth

2009 ◽  
Vol 20 (3) ◽  
pp. 179-185 ◽  
Author(s):  
Luciana Villela Rodrigues ◽  
Anilton César Vasconcelos ◽  
Pedro Alves Campos ◽  
Juliana Massote Caldeira Brant
Keyword(s):  
Genomic Dna ◽  
Primary Teeth ◽  
Root Resorption ◽  
Test Group ◽  
Permanent Tooth ◽  
Primary Tooth ◽  
Morphological Evidence ◽  
Control Group ◽  
Tunel Reaction

Pulp samples of 50 healthy human teeth with indication for extraction were examined to evaluate the role of apoptosis in pulp elimination during physiological root resorption. Two groups were formed: a test group (n=30) composed of pulp samples of primary teeth with physiological root resorption and a control group (n=20) composed of pulp samples of permanent maxillary third molars. Morphological evidence of apoptosis as well as in situ detection of cellular DNA fragmentation by TUNEL assay and detection of internucleosomal pattern of fragmentation of the genomic DNA by electrophoresis were observed. The apoptotic index of the primary tooth group was significantly higher than that of the permanent tooth group (51.01 ± 0.52 versus 25.32 ± 0.68) (p<0.001). TUNEL reaction showed intense and diffuse labeling in the pulp samples of primary teeth, which were discrete in the controls. Intense DNA internucleosomal fragmentation, a specific pattern for apoptosis, was observed in primary tooth pulps DNA by electrophoresis, in the permanent tooth pulps this pattern fragmentation of the genomic DNA for apoptosis were not present. These results seem to indicate a role of apoptosis in pulp elimination during the physiological root resorption of human primary teeth.

scholarly journals Clinical and Radiographic Efficacy of Portland Cement as Pulpotomy Material in Human Primary Molar

2018 ◽  
Vol 43 (2) ◽  
pp. 71-76
Author(s):  
Kamrun Nahar Santa ◽  
A.K.M. Bashar ◽  
Mozammal Hossain ◽  
Md. Hannan Sheikh ◽  
Md. Abdul Alim ◽  
...  
Keyword(s):  
Portland Cement ◽  
Structural Integrity ◽  
Root Resorption ◽  
Chemical Elements ◽  
Thermal Sensitivity ◽  
Primary Tooth ◽  
Primary Molar ◽  
Bridge Formation ◽  
The Difference ◽  
Group B

Mineral trioxide aggregates (MTA) has been considered one of the most effective pulpotomy materials as it induces the formation of dentine at a greater rate with superior structural integrity, minimal inflammation and nominal hyperplasia. Portland cement (PC), posing the principal chemical elements with similar mechanisms of action, physical properties and biocompatibility like MTA, may be considered as effective alternative for the same. So, the objective of the study was to compare the clinical and radiographic outcome of Portland cement and mineral trioxide aggregates as pulpotomy material in primary teeth. A total of 40 patients having deep carious primary tooth with mild thermal sensitivity were enrolled in this study. Pulpotomy 20 patients were treated with Portland cement and the remaining 20 patients were treated with mineral trioxide aggregates, those considered as group A and group B respectively. Then, clinical and radiological examinations were performed at 3, 6 and 12 months interval to investigate the incidence of postoperative pain, swelling, dentinal bridge formation and root resorption. After a period of one year, a total of 60.0% teeth treated by Portland Cement and 50.0% teeth treated by MTA group came out successfully both clinically and radiographically. All these treated teeth that came out successful remained vital having no pain clinically along with radiological evidence of dentin bridge formation and absence of internal resorption. The difference between the tested groups was not statistically significant (p>0.05). It can be considered that Portland cement (PC) can also be used as successful pulpotomy material as an effective and economic substitute of MTA.

scholarly journals A Comparative study of Biodentine and Calcium Hydroxide as Pulpotomy Material in Primary Teeth.

2019 ◽  
Vol 9 (1) ◽  
pp. 37-41
Author(s):  
Shamima Afroz ◽  
Shiren Sultana ◽  
Nushrat Saki ◽  
Mohammad Wahiduzzaman ◽  
Md Abdul Hannan Sheikh ◽  
...  
Keyword(s):  
Comparative Study ◽  
Calcium Hydroxide ◽  
Primary Teeth ◽  
Root Resorption ◽  
Primary Tooth ◽  
Conservative Dentistry ◽  
Group A ◽  
Study Population ◽  
Group B ◽  
Observation Period

Background: Pulpotomy is measured as one of the most worldwide accepted favourable clinical procedure for the treatment of deciduous tooth with reversible pulpitis with carious destruction of tooth tissue. Objectives: To evaluate the clinical and radio-graphical findings of primary tooth with reversible pulpitis by Biodentine and Calcium Hydroxide as pulpotomy material. Study Design: Randomized comparative study. Study place and period: Conservative Dentistry & endodontics department of Bangabandhu Sheikh Mujib Medical University, Dhaka, September 2013 to September 2014. Study Population: The study population comprised of patients having primary tooth with reversible pulpitis irrespective of sex. Methods/Procedure: According to inclusion and exclusion criteria, out of 100 primary teeth 50 teeth were treated with Biodentine (Group-A) and the remaining 50 teeth were treated with Ca(OH)2 (Group-B). Clinical and radiographic follow up examination were done at 3months,6 months and 12 months’ interval to evaluate the rate of postoperative pain, swelling and periapical radiolucency. Statistical package for Social Science (SPSS) version 17 was used to analyze the collected data Main outcomes measures (s): 01. Pain 02. Dentinal bridge 03. Root resorption Results: At 3 months observation period, Biodentine and Ca(OH)2 pulptomy of primary teeth showed 100% success rate in treating teeth with reversible pulpitis; neither pain nor swelling or radiographic sign of resorption was observed. At 6 and 12 months following the completion of treatment except in two case in group A and four case in group B in observation period, there results were similar to that of 3 months. Two Biodentine (4%) and four Ca(OH)2 (8%) therapy reported pain, swelling. There was no statistical difference between the two group (p>0.05). Conclusion: So, we can say that clinical and radiographic end result of Biodentine is better than Ca(OH)2 as a pulpotomy material in mature primary tooth with reversible pulpitis. Update Dent. Coll. j: 2019; 9 (1): 37-41

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