A Conservative Treatment Approach with Laser Therapy for Complicated Crown Root Fractures of Maxillary Anterior Teeth: A Report on Three Representative Cases of Pediatric Patients

Background: Trauma to the anterior teeth is a common injury in young children. Themaxillary incisors being the most affected. Although root fractures are rare, theydo occur and were previously and often considered hopeless and were extracted.The time between the injury and the initiation of treatment, level of the fractureline, and stage of root development are some criteria to be considered whenchoosing a treatment approach for a complicated tooth fracture. This case reportdescribes the management of a traumatized immature maxillary central incisorwith Elise class IV fracture with vertical oblique subgingival fracture of the root.Materials and method: Apexification was carried out using biodentine followed byremoval of the fractured segment. A fiber post was cemented in the root canalwith resin cement. The coronal portion of the tooth was restored using anteriorlight cured composite material. The tooth was examined and evaluated after 1week and after 2 months by clinical examination and radiographical evaluation ofroot development.Results: The follow up evaluation revealed clinical and radiographical success.Radiographic view showed continued development in the apex of the root andshowed normal periodontal ligament space and dense lamina dura.Conclusion: Extraction should not be the first choice of treatment for extensivelydamaged young permanent teeth in the anterior region; instead, alternativetreatment modalities must be considered. The traumatized immature tooth wassaved and restored.

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Fragment reattachment after complicated crown‐root fractures of anterior teeth: A systematic review

Dental Traumatology ◽

10.1111/edt.12602 ◽

2020 ◽

Author(s):

Priyal Khandelwal ◽

Siddharth Srinivasan ◽

Buvaneshwari Arul ◽

Velmurugan Natanasabapathy

Keyword(s):

Systematic Review ◽

Crown Root ◽

Anterior Teeth ◽

Root Fractures

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Dental trauma: management of complicated crown root fractures

Dental Update ◽

10.12968/denu.2019.46.11.1050 ◽

2019 ◽

Vol 46 (11) ◽

pp. 1050-1055

Author(s):

Khawer Ayub ◽

James Darcey

Keyword(s):

Functional Result ◽

Dental Trauma ◽

Traumatic Injuries ◽

Crown Root ◽

Anterior Teeth ◽

Dental Practitioners ◽

Root Fractures ◽

Maxillary Incisors ◽

Made In

Trauma of maxillary incisors is frequent and dental practitioners have to be competent in managing the consequences. Complicated crown root fractures of anterior teeth can have profound aesthetic and psychological implications on patients. In younger patients, if extractions are considered, it can lead to complex prosthodontic challenges in the future. Ideally, an attempt should be made in restoring the traumatized teeth, so an effective aesthetic and functional result can be reached. This case report highlights the treatment of complicated crown root fractures on maxillary incisors using endodontics and fragment re-attachment of the fractured crowns. Twelve-month follow-up of the treatment demonstrated aesthetic and functional success and delayed the need for prosthetic replacement. CPD/Clinical Relevance: This paper describes traumatic injuries of teeth and how management via fragment re-attachment of the fractured crowns has led to delay of definitive prosthetic treatment.

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Management of Crown Root Fracture by Interdisciplinary Approach

Case Reports in Dentistry ◽

10.1155/2013/138659 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

K. Radhakrishnan Nair ◽

Anoop N. Das ◽

Manoj C. Kuriakose ◽

Nandakumar Krishnankutty

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Interdisciplinary Approach ◽

Periodontal Tissue ◽

Fiber Reinforced ◽

Root Fracture ◽

Crown Root ◽

Anterior Teeth ◽

Tooth Form ◽

Root Fractures

Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patients confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable. Reattachment is an option for restoration of anterior teeth compared to other artificial replacements because of its appearance as natural. This method is favourable when the fractured fragment is intact and available. Utilization of pulp space for retention of fragment is achieved by the insertion of a dentine bonding post. This case report describes a case of tooth reattachment after trauma in which the pulp space is utilized to bond a fiber-reinforced post for retention after periodontal tissue management.

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Conservative Treatment of Complicated Oblique Crown-root Fractures of Molars: A Report of Five Representative Cases

Operative Dentistry ◽

10.2341/12-371-sr1 ◽

2013 ◽

Vol 38 (3) ◽

pp. E67-E75 ◽

Cited By ~ 1

Author(s):

P Wang ◽

W He ◽

L Ni ◽

Q Lu ◽

H Sun

Keyword(s):

Conservative Treatment ◽

Treatment Procedure ◽

Root Fracture ◽

Tooth Structure ◽

Crown Root ◽

Root Fractures ◽

Periodontal Healing

SUMMARY The five cases presented here describe a conservative treatment procedure for complicated crown-root fractures of molars with extensive loss of tooth structure. After the mobile crown-root fragments were extracted, the remaining crowns were restored at the juxtagingival level. The follow-up time ranged from two years, seven months, to four years. At the follow-up examinations, all of the teeth were asymptomatic and had healthy clinical appearances. There was no evidence of pockets related to fractures. The results of these cases show that complete periodontal healing is possible with conservative treatment of complicated crown-root fracture of molars.

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Laser Therapy Evaluation in Complications of Restorations by Total-Etch Technique

Revista de Chimie ◽

10.37358/rc.18.4.6228 ◽

2018 ◽

Vol 69 (4) ◽

pp. 921-925

Author(s):

Cristina Angela Ghiorghe ◽

Andra Claudia Gamen ◽

Tiberiu Tirca ◽

Sorin Andrian ◽

Anca Melian ◽

...

Keyword(s):

Laser Treatment ◽

Laser Therapy ◽

Hybrid Composite ◽

Study Groups ◽

Composite Resins ◽

Single Bond ◽

Class Iii ◽

Anterior Teeth ◽

Carious Lesions ◽

Etch And Rinse

The aim of this study was to evaluate the efficiency of laser therapy in post-operative sensitivity by Visual Analogue Scale (VAS) to the 57 patients after restoration with two different resins composite. In the first group (28 patients, 30 teeth) it was restored the cavity class I Black with micro-hybrid composite Filtek Z250 - Adper Single Bond (3M/ESPE). In the second group (29 patients, 30 teeth) it was restored the cavity class III Black with nano-hybrid composite Ceram X One Sphere Tec-Prime and Bond One (Etch&Rinse) (Dentsply). The restorative treatments were performed by the same practitioner on posterior and anterior teeth diagnosed with mid-sized chronic carious lesions. Total etch (etch and rinse) strategy of adhesion was used for both composite resins. The laser treatment was performed in 2 sessions at 48 hours and after 7 days, for both study groups using laser Whitening Lase II (DMC Dental). Mean scores for VAS indices decreased significantly at 48 hours and 7 days, following laser treatment for all the investigated parameters (materials, sex, age) (p [ 0.05).

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Sonographic Discovery of Segmental Testicular Infarction

Journal of Diagnostic Medical Sonography ◽

10.1177/87564793211064997 ◽

2021 ◽

pp. 875647932110649

Author(s):

Kelly Pham

Keyword(s):

Conservative Treatment ◽

Testicular Torsion ◽

Treatment Process ◽

Surgical Intervention ◽

Treatment Approach ◽

Accurate Diagnosis ◽

Sonographic Diagnosis ◽

Testicular Infarction ◽

Segmental Testicular Infarction

The prevalence of segmental testicular infarction is extremely uncommon and very few cases have been reported in literature. Clinical and sonographic presentation of this condition can mimic testicular neoplasms or testicular torsion. Therefore, accurate diagnosis of segmental testicular infarction is imperative in the treatment process. This case study presents the sonographic diagnosis of testicular infarction in a 49-year-old man who reported mild testicular tenderness. A conservative treatment approach was used, saving the patient unnecessary surgical intervention.

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