Atypical radiographic presentation of a horizontal mid-root fracture in a maxillary central incisor tooth

Kaur, Amandeep; Logani, Ajay; Chahar, Manish

doi:10.4103/jcd.jcd_288_17

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…[7] Widening of the fracture line, loss of lamina dura, and rarefaction of the adjacent alveolar bone are typical radiographic findings. [8] A multidisciplinary approach is clinically considered necessary to manage dental trauma. [7] Treatment outcome of fractured teeth may be influenced by several factors such as degree of dislocation, stage of root formation, location of the fracture, type of dental trauma, and the time duration between trauma and treatment.…”

Section: Introductionmentioning

confidence: 99%

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

Vaswani¹,

Abraham²,

Najan³

et al. 2020

Open Access Maced J Med Sci

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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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Section: Introductionmentioning

confidence: 99%

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

Vaswani¹,

Abraham²,

Najan³

et al. 2020

Open Access Maced J Med Sci

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Conservative management of a horizontal root fracture in a primary maxillary central incisor: Case report

Sancas

Pires

Primo

2022

Dental Traumatology

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Dental traumatic injuries 1 frequently affect the teeth and oral tissues of toddlers. 2 Horizontal root fractures following trauma in the primary dentition have a prevalence of 2.46%, 3 and are considered to be rare. 4 The treatment for horizontal root fractures was once considered to be extraction. 5,6 Although there is little scientific support for treatments in the primary dentition, 7 the main reason for treating fractured teeth is to maintain the pulp. 8 Frequently, observation is the most appropriate choice in emergency situations, unless there is risk of ingestion, aspiration, or occlusal interference. 7 The International Association of Dental Traumatology (IADT) guidelines state that to establish a treatment protocol the clinician must evaluate the individual clinical aspects, the possibility of compliance, and also consider the immediate and long-term outcomes of the treatment options versus non-treatment. 1 Thus, an accurate examination and diagnosis are essential for the successful management of a root fractured tooth 9 and the treatment protocol will depend on the displacement of the fractured segment, the location of the fracture line and the state of the pulp. 6 Previous articles in the literature have reported the management of horizontally fractured roots in primary teeth with splinting, 4,10,11 and spontaneous healing of root fractured permanent teeth without any treatment has also been described. [12][13][14] This report presents a case of a horizontal root fracture in a primary central incisor with non-invasive management that resulted in satisfactory long-term preservation of the tooth over an eight-year follow-up period.

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Atypical radiographic presentation of a horizontal mid-root fracture in a maxillary central incisor tooth

Cited by 2 publications

References 12 publications

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

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

Conservative management of a horizontal root fracture in a primary maxillary central incisor: Case report

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