Traumatic injuries to teeth account for approximately 25% of dental conditions where a patient seeks dentist for emergency treatment. Radicular fractures are one such entity which is very challenging to address due to various complications like periodontal communication, increased mobility, and continued pulpal infection leading to necrosis. Radicular fractures in the middle third have long been considered teeth of salvage due to their unfavourable fracture pattern. During the recent years introduction of biomimetic materials has opened the horizon for saving these teeth. In the present case report a novel approach to the management of radicular fractures in the middle third has been presented.
The fracture of an endodontic instrument is an obstacle in the completion of successful endodontic therapy. Non-surgical re-treatment and surgical endodontics are not always viable solutions. The various methods of re-treatment for a separated instrument include le bypass, le retrieval or the surgical method of Apicoectomy. However, the mode of treatment also depends on the position of the separated instrument in the tooth, the anatomy of the tooth and also the root. In certain cases, le bypass or retrieval is not advocated. In such cases, other options for re-treatment are needed to be considered. Intentional replantation is a treatment option considered by many as a procedure of last resort when non-surgical and surgical endodontics is contraindicated. This procedure is often indicated where the separated instrument is at or beyond the apex. The case report discussed in this paper presentation demonstrates the procedure of intentional replantation as a viable solution where other retreatment procedures are not possible.
Tooth fractures are often reported as emergencies in dental practice. Coronal fractures of the anterior teeth are a prevalent cause of dental trauma in children and teenagers. It's a tragic situation that necessitates prompt care and quick functional and esthetic repair. The clinician's main difficulty when dealing with these types of dental injuries is to re-establish the natural esthetics of the traumatized anterior tooth. There are several therapeutic options for this condition, one of which is reattachment of the fractured component itself. Because of its simplicity, natural esthetics, and preservation of tooth structure, reattachment of a tooth fragment should be the first choice and a feasible alternative to conventional approaches. For a successful prognosis, the patient's cooperation and comprehension of the treatment's limitations is essential. This paper presents a report of two clinical cases on managing complicated crown fractures, where the restoration of the fractured anterior teeth using the residual tooth fragment was supported by fiber post system. Keywords: Complicated Crown Fracture, Fiber post, Fractured Tooth Fragment, Internal grooving.
Coronal fractures of permanent anterior teeth by trauma are the most common type of injury. Many factors are considered in the attempt to provide optimal mechanical properties, aesthetic, and longevity. Discomfort, serious psychological, esthetic, functional, and phonetic problems are related with anterior crown fracture, this may also affect social communications and it poses a challenge for the dentist, to save these teeth. The restoration of traumatically injured teeth with substantial loss of coronal structure necessitates endodontic treatment followed by post insertion into canal space so that foundation restoration can be strengthened to receive the crown. In this case report, such case is described with fiber-reinforced post and core system.
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