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Özler CÖ, Cehreli ZC. Conservative management of a cervical horizontal root fracture by long-term stabilisation: A case report. AUST ENDOD J 2021; 48:338-341. [PMID: 34322945 DOI: 10.1111/aej.12551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2021] [Indexed: 11/30/2022]
Abstract
Cervical root fractures are often more difficult to manage than fractures of the apical and middle third of the root, due to the weak chance of healing with dental hard tissue between fragments, and the likelihood of subsequent infection of the root canal system. This case report describes the management of a cervical horizontal root fracture by repositioning the coronal fragment of a maxillary central incisor, and long-term splinting using a bonded lingual orthodontic retainer wire. Throughout the 7-year stabilisation period with clinical and radiographic follow-up, the tooth has remained asymptomatic with radiographic evidence of progressive pulp canal obliteration. In applicable cases, long-term stabilisation of the fractured coronal fragment with a fixed orthodontic retainer may offer a minimally invasive solution to maintain pulp vitality, function and aesthetics until cessation of growth or until a more comprehensive, multidisciplinary approach is required.
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Affiliation(s)
- Cansu Özşin Özler
- Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
| | - Zafer C Cehreli
- Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
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Soares Ditzel A, Tulio Manfron AP, Westphalen FH, da Silva Neto UX, Kowalczuck A, Carneiro E, Ditzel Westphalen VP. Management of Multiple Dental Trauma: Case Report with Eight-Year Follow-up. IRANIAN ENDODONTIC JOURNAL 2018; 13:410-412. [PMID: 30083217 PMCID: PMC6064017 DOI: 10.22037/iej.v13i3.21090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
This case report documents the clinical approach adopted for two maxillary incisors with intrusion and horizontal root fracture in the middle third after trauma. The proposed procedures involved maintaining pulp vitality and periodontal stability of the fractured teeth with 8 years of follow-up.
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Affiliation(s)
- Alessandra Soares Ditzel
- Department of Oral Radiology, School of Life Sciences, Pontifícia Universidade Católica do Paraná. Curitiba, Paraná, Brazil
| | | | | | - Ulisses Xavier da Silva Neto
- Department of Endodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Alexandre Kowalczuck
- Department of Endodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Everdan Carneiro
- Department of Endodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
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Westphalen VPD, Carneiro E, Fariniuk LF, da Silva Neto UX, Westphalen FH, Kowalczuck A. Maintenance of Pulp after Horizontal Root Fractures in Three Maxillary Incisors: A Thirteen-Year Evaluation. IRANIAN ENDODONTIC JOURNAL 2017; 12:508-511. [PMID: 29225650 PMCID: PMC5722107 DOI: 10.22037/iej.v12i4.16617] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
This case report documents the clinical approach adopted for three upper incisors with horizontal root fracture in the middle or cervical third. The proposed procedures involved maintaining pulp vitality and periodontal stability of the fractured teeth with 13 years of follow-up.
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Affiliation(s)
- Vânia Portela Ditzel Westphalen
- Department of Endodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Everdan Carneiro
- Department of Endodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Luiz Fernando Fariniuk
- Department of Endodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Ulisses Xavier da Silva Neto
- Department of Endodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
| | - Fernando Henrique Westphalen
- Department of Oral Radiology, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná and Department of Stomatology, School of Dentistry, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Alexandre Kowalczuck
- Department of Endodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
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Clinical management of horizontal root fractures aided by the use of cone-beam computed tomography. GIORNALE ITALIANO DI ENDODONZIA 2017. [DOI: 10.1016/j.gien.2017.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Tsai YL, Liao WC, Wang CY, Chang MC, Chang SH, Chang SF, Chang CW, Huang YD, Chan CP, Jeng JH. Horizontal root fractures in posterior teeth without dental trauma: tooth/root distribution and clinical characteristics. Int Endod J 2016; 50:830-835. [PMID: 27677655 DOI: 10.1111/iej.12704] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Accepted: 09/23/2016] [Indexed: 11/30/2022]
Abstract
AIM To describe the clinical characteristics and radiographic findings of horizontal root fractures (HRF) in posterior teeth without a history of dental trauma. METHODOLOGY A total 24 patients and 31 HRF cases in 28 posterior teeth were collected from 2006 to 2015. Clinical examinations and radiographic imaging were evaluated. Value of confidence intervals of the proportions was calculated for data presentation. RESULTS The number of males (54%) was similar to females (46%). The patients were predominantly between 50 and 70 years of age (75%). Most HRF cases were found in nonendodontically treated teeth (79%), without crown and bridge restorations (82%), and maxillary molars (54%). Many roots of maxillary molars had developed HRF, and the probability was nearly equal. Fractured teeth usually presented with periodontal and apical bone loss, and most patients (92%) were diagnosed with full mouth chronic periodontitis. Tooth wear was another common clinical feature amongst these patients. CONCLUSIONS HRF in posterior teeth without dental trauma occurred mainly in patients aged between 50 and 70, in nonendodontically treated teeth, teeth with attrition but without crown and bridge restorations, maxillary molars and with periodontal and periapical bony destruction. Periodontal condition, occlusal wear and patients' age at diagnosis were the possible related factors. HRF in posterior teeth without dental trauma is a diagnostic challenge and even misdiagnosed. A thorough clinical examination, radiographic analysis and recognition of the clinical characteristics are helpful in the early diagnosis and treatment of HRF.
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Affiliation(s)
- Y-L Tsai
- Graduate Institute of Clinical Dentistry, National Taiwan University Medical College, Taipei, Taiwan.,Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
| | - W-C Liao
- Graduate Institute of Clinical Dentistry, National Taiwan University Medical College, Taipei, Taiwan.,Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
| | - C-Y Wang
- Graduate Institute of Clinical Dentistry, National Taiwan University Medical College, Taipei, Taiwan.,Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
| | - M-C Chang
- Biomedical Science Team, Chang Gung University of Science and Technology, Taoyuan, Taiwan.,Department of Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan
| | - S-H Chang
- Biostatistics Laboratory, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - S-F Chang
- Department of Dentistry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
| | - C-W Chang
- Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan
| | - Y-D Huang
- Graduate Institute of Clinical Dentistry, National Taiwan University Medical College, Taipei, Taiwan.,Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
| | - C-P Chan
- Department of Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan
| | - J-H Jeng
- Graduate Institute of Clinical Dentistry, National Taiwan University Medical College, Taipei, Taiwan.,Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan
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Celikten B, Uzuntas CF, Safaralizadeh R, Demirel G, Sevimay S. Multidisciplinary approach for the treatment of horizontal root-fractured maxillary anterior teeth. Case Rep Dent 2014; 2014:472759. [PMID: 25485158 PMCID: PMC4251642 DOI: 10.1155/2014/472759] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2014] [Revised: 10/29/2014] [Accepted: 10/29/2014] [Indexed: 11/17/2022] Open
Abstract
Dental trauma can lead to a wide range of injuries of which crown and root fractures are examples. Crown-root fractures often need complex treatment planning. This case report describes the use of MTA in the multidisciplinary management of a patient with a horizontally fractured central incisor and luxation in a different central incisor. A 42-year-old female patient presented within 1 h of receiving direct trauma to her maxillary area. Clinical examination revealed that the right and left maxillary central incisors presented mobility and sensitivity to percussion and palpation but no sensitivity to thermal stimulations. Occlusal displacement with extrusion in the left maxillary central incisor and luxation in the right maxillary central incisor was observed. Radiographic examination revealed horizontal root fracture at the apical third of the left maxillary central incisor. Root fracture in the right maxillary incisor was not observed. Endodontic and aesthetic restorative treatments were completed. MTA showed a good long-term outcome when used in root-fractured and luxated teeth. In addition, composite resin restoration provided satisfactory aesthetic results even after 15 months.
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Affiliation(s)
- Berkan Celikten
- Department of Endodontics, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey
| | - Ceren Feriha Uzuntas
- Department of Endodontics, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey
| | - Reza Safaralizadeh
- Department of Restorative Dentistry, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey
| | - Gulbike Demirel
- Department of Restorative Dentistry, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey
| | - Semra Sevimay
- Department of Endodontics, Faculty of Dentistry, University of Ankara, Besevler, 06500 Ankara, Turkey
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Er K, Celik D, Taşdemir T, Yildirim T. Treatment of horizontal root fractures using a triple antibiotic paste and mineral trioxide aggregate: a case report. ACTA ACUST UNITED AC 2009; 108:e63-6. [PMID: 19540446 DOI: 10.1016/j.tripleo.2009.03.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2009] [Revised: 03/12/2009] [Accepted: 03/12/2009] [Indexed: 12/11/2022]
Abstract
This case report describes the treatment of a horizontal root fracture in a maxillary central incisor (tooth #8) using a triple antibiotic paste and mineral trioxide aggregate. A nonsurgical endodontic treatment was performed to a coronal root canal fragment of tooth #8. During the treatment procedure, 1% sodium hypochlorite solution was used for irrigation and a triple antibiotic paste was used as an intracanal medicament. The coronal part of the canal was obturated with mineral trioxide aggregate totally. At follow-up examination after 12 months, the tooth was asymptomatic and radiographically showed repair of the fracture region. Healing was achieved without any need for further interventions.
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Affiliation(s)
- Kürşat Er
- Department of Endodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey
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