scholarly journals In vivo Study of Use of Bioceramic Material in Open Crown-root Fractures

2019 ◽  
Vol 56 (4) ◽  
pp. 947-950
Author(s):  
Anca Melian ◽  
Gabriel Melian ◽  
Catalina Iulia Saveanu ◽  
Sorina Mihaela Solomon ◽  
Cristian Levente Giuroiu ◽  
...  
Keyword(s):  
Treatment Plan ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Crown Root ◽  
Aesthetic Results ◽  
Cad Cam ◽  
Pulp Exposure ◽  
Root Fractures ◽  
Pulp Vitality

Treatment of crown root fracture is complex and requires an accurate diagnostic and treatment plan. The purpose of this article is to report a case of a maxillary central incisor with a crown-root fracture with pulp exposure treated and rehabilitated with the preservation of pulp vitality using a micro-pulpotomy and pre-mixed bioactive endodontic cements followed by zirconia restauration, a bioinert ceramic material, milled using CAD/CAM technology. The preservation of pulp vitality using premixed bioceramic materials, ensures the continuation of dentinogenesis with its benefits, higher resistance of radicular walls against fracture, smaller diameter of apical foramen as well as creating conditions over time for a post retained crown with better aesthetic results.

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 Sectional Fixed Orthodontic Extrusion Technique in Management of Teeth with Complicated Crown-Root Fractures: Report of Two Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
S. Nagarajan M. P. Sockalingam ◽  
Katherine Kong Loh Seu ◽  
Halimah Mohamed Noor ◽  
Ahmad Shuhud Irfani Zakaria
Keyword(s):  
Quality Of Life ◽  
Treatment Technique ◽  
Root Fracture ◽  
Crown Root ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Orthodontic Extrusion ◽  
Dental Injuries

Complicated crown-root fractures account for a small percentage of traumatic dental injuries seen in children; however, management of these injuries can be very challenging to clinicians. Factors such as complexity of the injury, patient’s age and dentition stage, patient’s cooperation, and parental demands may have some bearing on the type of treatment undertaken and its outcomes. In some children, these injuries may have significant impact on their quality of life. The purpose of this article is to describe two cases of complicated crown-root fracture which were successfully managed through orthodontic extrusion using a sectional fixed orthodontic technique. The basis for the treatment technique and its favourable outcomes were highlighted with its advantages and drawbacks.

scholarly journals Spontaneous healing response of oblique root fracture: case report with 4-year follow-up

2021 ◽  
Vol 10 (3) ◽  
pp. e30710313144
Author(s):  
Hugo José Santos Bastos ◽  
Key Fabiano Souza Pereira ◽  
Luiz Fernando Tomazinho ◽  
Marcos Roberto dos Santos Frozoni ◽  
Élida Boaventura Mendes
Keyword(s):  
Treatment Decision ◽  
Endodontic Treatment ◽  
Spontaneous Healing ◽  
Root Fracture ◽  
Tooth Discoloration ◽  
Root Fractures ◽  
Complete Fracture ◽  
Pulp Vitality ◽  
Horizontal Root Fracture

Root fractures can involve the dentin, cementum, and pulp and commonly can occur as oblique fractures with varying orientations. The aim of this study was to demonstrate the maintenance of pulp health in a tooth with a fractured root without any endodontic treatment and to discuss the advantage of cone-bean computed tomography (CBCT) compared with traditional radiographs in the diagnosis of oblique root fractures. Intra-oral radiography of tooth 11 revealed a horizontal root fracture at the level of the apical third, while the sagittal CBCT slice reveals a complete fracture line running obliquely from the apical third on the buccal aspect through the cervical third on the palatal aspect.  Four years follow-up, the tooth has kept its pulp vitality, no tooth discoloration or discrepancy in arch position, without endodontic treatment. This result illustrates spontaneous healing of root fracture including preservation of pulp health. In addition, it confirms the importance of exams in 3 dimensions to correctly locate the fracture and assist in the treatment decision.

scholarly journals Management of Horizontal and Multiple Crown-Root Fractures

2011 ◽  
Vol 2 (4) ◽  
pp. 338-341
Author(s):  
Ramya Raghu ◽  
DS Sahana
Keyword(s):  
Dental Health ◽  
Traumatic Injury ◽  
Mineral Trioxide Aggregate ◽  
Fracture Site ◽  
Root Fracture ◽  
Delayed Treatment ◽  
Crown Root ◽  
Root Fractures ◽  
One Year

ABSTRACT Traumatic injury to oral cavity with accompanying tooth fracture can be a tragic experience for the patient and is a problem that requires experience, judgment and skill of the dentist. The dental health and appearance marred by an unsightly injury must be restored to normal as soon as possible. Though, root fractures comprise 0.5 to 7% of injuries affecting the permanent dentition, improper and delayed treatment can lead to loss of tooth. This report records a clinical case of intraalveolar horizontal mid root fracture in maxillary right central incisor with subluxation of coronal segment, which was managed endodontically using mineral trioxide aggregate (MTA), as an apical barrier at the fracture site. Maxillary right lateral and left central incisors affected by oblique crown-root fracture which were restored by custom-cast post and crown. After one year follow-up, the teeth were asymptomatic and showed signs of healing apical to the MTA barrier.

scholarly journals Esthetic and endodontic management of a deep crown-root fracture of a maxillary central incisor

2012 ◽  
Vol 54 (4) ◽  
pp. 359-362
Author(s):  
Tamotsu Tsurumachi ◽  
Sakurako Matsumoto ◽  
Yoshimi Kobayashi ◽  
Kinuyo Ohara ◽  
Yusuke Suzuki ◽  
...  
Keyword(s):  
Central Incisor ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Crown Root

Biological Restoration in a Young Patient with a Complicated Crown Root Fracture with an Autogenous Tooth Fragment

2013 ◽  
Vol 38 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Vinaya Kumar Kulkarni ◽  
Raja Sridhar ◽  
Mahesh Kumar Duddu ◽  
Naveen Reddy Banda ◽  
Saket Vyawahare ◽  
...  
Keyword(s):  
Composite Resin ◽  
Simple Procedure ◽  
Careful Evaluation ◽  
Root Fracture ◽  
Tooth Structure ◽  
Crown Root ◽  
Bonding System ◽  
Glass Fiber Post ◽  
Root Fractures ◽  
Biologic Width

Crown-root fractures are one of the most challenging trauma cases to treat. Reattachment of tooth fragment to a fractured tooth being a simple procedure conserves the tooth structure, maintains the natural esthetics value and is thus considered as a favorable treatment option. The reattachment procedure using composite resin should be considered if the subgingival fracture can be exposed to provide isolation after a careful evaluation of the biologic width involvement. This case report presents a complicated crown-root fracture of permanent maxillay left central incisor, involving the biologic width in an 11-year-old boy. The traumatized tooth was treated endodontically and reinforced by using glass fiber-post. Access to the subgingival margins was gained by electro surgery. The fractured fragment was reattached using bonding system and composite resin.

scholarly journals Endodontic Management of Complicated Vertical Crown-Root Fracture in Deciduous Molars: Report of Two Cases

2021 ◽  
Author(s):  
Richa Kumari ◽  
Neeraj Kumar ◽  
Krishan Gauba
Keyword(s):  
International Association ◽  
Mixed Dentition ◽  
Radiographic Examination ◽  
Posterior Teeth ◽  
Root Fracture ◽  
Traumatic Injuries ◽  
Crown Root ◽  
Space Maintainer ◽  
Root Fractures ◽  
Deciduous Molars

Dental traumatic injuries most commonly occur in the primary and mixed dentition, but vertical complicated crown-root fractures are rarely seen in children. Clinical and radiographic examination of these injuries helps in accurate diagnosis and management. According to the International Association of Dental Traumatology guidelines, treatment usually involves extraction followed by placement of a space maintainer. Cases of complicated crown and root fracture in primary posterior teeth are often unnoticed by the clinician, at the time of injury. Two such patients are presented, who reported symptoms a few weeks after their accident. They were managed conservatively by initial stabilization with stainless steel crowns, followed by root canal therapy. This report highlights the need for referral to specialists and emphasizes the importance of conservative management of primary teeth to maintain functional demands.

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