Root Fracture and Extrusive Luxation in Primary Teeth and Their Management: A Case Report

Background: Extrusion, lateral luxation, and intrusion are among the most serious types of dental trauma. Only a few studies have specifically focused on extrusion; the present one was aimed at reporting a case of domestic traumatic dental injury to primary tooth and describing the measures taken in managing the trauma in order to avoid future consequences to the underlying permanent tooth germ. Case report: A 3.5-year-old boy reported a dental injury with extrusion and root fracture of deciduous tooth 5.1. After intraoral and radiographic evaluation, the element was repositioned and stabilized by an orthodontic flexible splint attached to the adjacent teeth. Several follow-up checkups were made and showed good healing of the tissues and physiological exfoliation of the tooth, with a healthy and unaffected corresponding central permanent incisor. Conclusion: This case report strengthens the importance of well-timed diagnosis and treatment and of regular follow-up of traumatized teeth as they may affect both dentitions with a negative impact on Oral Health-Related Quality of Life. Conservative treatment should be taken into consideration when possible, being in some cases more appropriate.

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Conservative Management of the Horizontal Root Fracture in the Middle Third using Fiber Post as an Intraradicular Splint

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4865 ◽

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.

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Conservative Treatment of Complicated Crown Fracture and Crown-Root Fracture of Young Permanent Incisor—A Case Report with 24-Month Follow-Up

Children ◽

10.3390/children8090725 ◽

2021 ◽

Vol 8 (9) ◽

pp. 725

Author(s):

David Marinčák ◽

Vojtěch Doležel ◽

Michal Přibyl ◽

Iva Voborná ◽

Ivo Marek ◽

...

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Permanent Teeth ◽

Dental Injury ◽

Root Fracture ◽

Maxillary Central Incisor ◽

Crown Root ◽

Mucoperiosteal Flap ◽

Injury Treatment

The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.

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Management of late dental trauma healing complications in primary teeth: a case report of 3 years follow-up

Revista Brasileira de Odontologia ◽

10.18363/rbo.v73n3.p.253 ◽

2016 ◽

Vol 73 (3) ◽

pp. 253

Author(s):

Nashalie Andrade de Alencar ◽

Tatiana Kelly da Silva Fidalgo ◽

Jacckeline Barros ◽

Maria da Encarnação P. Requejo da Costa ◽

Lucianne Cople Maia

Keyword(s):

Case Report ◽

Primary Teeth ◽

Case Reports ◽

Traumatic Injury ◽

Dental Trauma ◽

Pediatric Dentistry ◽

Permanent Tooth ◽

Maxillary Central Incisor ◽

Main Complaint

Objective: This case reports the management of late healing complications in primary teeth after dental trauma. Case Report: A 6-year-old girl was referred to the pediatric dentistry clinic with a huge swelling associated with her anterior maxillary left-side region as a main complaint. Her mother reported a traumatic injury in the affected tooth one year before. The clinical exam revealed a noncomplicated fracture and an extensive abscess, both radiographically associated with the left maxillary central incisor. Additionally, pulp obliteration in its homologous tooth was observed. The abscessed tooth was extracted and the homologous tooth was maintained, the child was followed up for three years. No crown or root pathological alterations were observed in either erupted permanent successors. Conclusion: Traumatic injury in the primary teeth may show no initial healing complication however, the follow up and treatment of acute healing complications is essential until the eruption of the permanent tooth.

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Are student knowledge levels and attitudes about avulsion dental trauma adequate in the faculty of medicine?

International Dental Research ◽

10.5577/intdentres.2021.vol11.suppl1.22 ◽

2021 ◽

Vol 11 (Suppl. 1) ◽

pp. 143-151

Author(s):

Aslı Soğukpınar Önsüren ◽

Sevcan İpek

Keyword(s):

Case Report ◽

Dental Trauma ◽

Permanent Tooth ◽

Primary Tooth ◽

Student Knowledge ◽

Chi Square ◽

Chi Square Test ◽

Native Speakers Of English ◽

Knowledge Levels ◽

Dental Injuries

Aim: The aim of this study was to measure the knowledge levels and attitudes of medical students in Kahramanmaraş city on traumatic dental injuries, particularly dental avulsion. Methodology: A total of 224 students studying at the medical school in Kahramanmaraş province were included in this research. The students filled out two-part questionnaire forms containing 17 items in total. We used descriptive frequency analysis, crosstabs, and the chi-square test. Results: Only 7.6% of the students had received relevant training on dental injuries; however, 70.6% did not find the training sufficient. In the case report on replanting a primary tooth, 70.1% of the participants agreed that the primary tooth should not be replanted. In the case report on replanting a permanent tooth, 70.5% of them stated that, although they knew the fallen tooth to be a permanent tooth, they would refer the patient to a dentist immediately because they did not have relevant knowledge for the case. Additionally, 7.6% of the participants stated that if a permanent tooth was avulsed, they would keep the tooth in milk. Conclusion: We concluded that students majoring in medicine had insufficient knowledge levels and attitudes regarding dental injuries leading to avulsion, and we believe this subject needs to be covered by the relevant curriculum. How to cite this article: İpek S, Soğukpınar Önsüren A. Are student knowledge levels and attitudes about avulsion dental trauma adequate in the faculty of medicine? Int Dent Res 2021;11(Suppl.1):143-51. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.22 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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

Case Reports in Dentistry ◽

10.1155/2018/3753807 ◽

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.

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Management of two teeth unerupted due to an odontoma: two years follow-up

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v13i1.10089 ◽

2014 ◽

Vol 13 (1) ◽

pp. 107

Author(s):

Tacíria Machado Bezerra ◽

Thaís Pinto Alves ◽

Thaís Rodrigues Soares ◽

Oswaldo Costa Neto ◽

Maria da Encarnação P. R. Costa ◽

...

Keyword(s):

Case Report ◽

Primary Teeth ◽

Young Patients ◽

Dental Trauma ◽

Permanent Tooth ◽

Font Size ◽

Successful Management ◽

Correct Alignment ◽

History Of

Objective: The purpose of this case report was to describe the successful management of unerupted incisors due to an odontoma in two young girls with history of dental trauma in primary teeth. Case report: The radiographic examinations revealed odontoma-like malformations, which were surgically removed in both cases. In case 1 the crown of the permanent tooth was exposed and orthodontic traction performed and in case 2, a waiting period of at least 6 months for spontaneous eruption of permanent tooth was expected. After 8 months it was necessary the orthodontic traction because the tooth had not erupted. In both cases the correct alignment of the upper incisors was achieved, the final occlusion was satisfactory and periapical radiographs revealed no pathological signs. Conclusion: The satisfactory results confirmed the advantages of these approaches, which restored the esthetics and oral function of these two young patients.

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Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up

Case Reports in Dentistry ◽

10.1155/2015/914846 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5

Author(s):

E. Ferrés-Amat ◽

C. Díaz-Martínez ◽

S. Herrera-Martínez ◽

I. Maura-Solivellas ◽

E. Ferrés-Padró

Keyword(s):

Dental Trauma ◽

Primary Diagnosis ◽

Open Bite ◽

Dental Arch ◽

Dental Injury ◽

Root Fracture ◽

Dentoalveolar Trauma ◽

Traumatic Dental Injuries ◽

Dental Injuries

The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor’s crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition.

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Dental trauma on primary teeth at different root resorption stages-A dynamic finite element impact analysis of the effect on the permanent tooth germ

Dental Traumatology ◽

10.1111/edt.12460 ◽

2019 ◽

Vol 35 (2) ◽

pp. 101-108 ◽

Cited By ~ 3

Author(s):

Andomar B. F. Vilela ◽

Priscilla B. F. Soares ◽

Fabiana S. de Oliveira ◽

Tales C. Garcia-Silva ◽

Carlos Estrela ◽

...

Keyword(s):

Finite Element ◽

Impact Analysis ◽

Primary Teeth ◽

Root Resorption ◽

Dental Trauma ◽

Tooth Germ ◽

Permanent Tooth ◽

Dynamic Finite Element

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Reimplantation of avulsed maxillary central incisors – case report of an 8-year follow-up

Current Issues in Pharmacy and Medical Sciences ◽

10.12923/j.2084-980x/26.1/a.15 ◽

2015 ◽

Vol 26 (1) ◽

pp. 68-70

Keyword(s):

Case Report ◽

Oral Cavity ◽

Children And Adolescents ◽

Dental Trauma ◽

Permanent Teeth ◽

Tooth Avulsion ◽

Complete Rupture ◽

Major Complications ◽

Dental Injuries

Dental trauma is very common, especially in children and adolescents. Tooth avulsion (exarticulation), which is a result of complete rupture of periodontal ligaments is one of the most severe dental injuries. The treatment of choice in avulsion of permanent teeth is reimplantation. Survival of reimplanted teeth depends greatly on the time and conditions in which teeth were stored outside the oral cavity. This report presents a case of 18-year old male with avulsion of central maxillary incisors. The teeth were reimplanted 14 hours after injury. During 8-year follow up no major complications occurred and the teeth still maintain their function, although signs of mild replacement resorption are visible on the follow-up radiographs.

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Esthetic Rehabilitation of a Fractured Permanent Maxillary Central Incisor by Reattachment

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1141 ◽

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.

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