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Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin.

Shin JH, Kim RJ - Restor Dent Endod (2012)

Bottom Line: Traumatic injuries of the face often involve root fractures especially in anterior teeth.The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance.Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Korea University Guro Hospital, Seoul, Korea.

ABSTRACT
Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

No MeSH data available.


Related in: MedlinePlus

Periapical radiograph showing horizontal root fractures of both maxillary central incisors.Note visible gap between middle and cervical third of the maxillary central incisors.
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Figure 1: Periapical radiograph showing horizontal root fractures of both maxillary central incisors.Note visible gap between middle and cervical third of the maxillary central incisors.

Mentions: The extraoral examination revealed abrasion of the chin and contusion of the upper lip. The intraoral clinical examination showed uncomplicated enamel-dentine fracture of the maxillary right canine and lateral incisor. The maxillary central incisors exhibited enamel chipping as well as many superficial enamel craze lines, and grade 1 to 2 mobility. The surrounding periodontal tissue was slightly erythematous in the cervical area of both maxillary central incisors. He had bruises and superficial lacerations on the inner surface of the upper lip. Horizontal fracture lines were radiographically evident between the middle third and the cervical third of the maxillary central incisors (Figure 1).


Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin.

Shin JH, Kim RJ - Restor Dent Endod (2012)

Periapical radiograph showing horizontal root fractures of both maxillary central incisors.Note visible gap between middle and cervical third of the maxillary central incisors.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3569405&req=5

Figure 1: Periapical radiograph showing horizontal root fractures of both maxillary central incisors.Note visible gap between middle and cervical third of the maxillary central incisors.
Mentions: The extraoral examination revealed abrasion of the chin and contusion of the upper lip. The intraoral clinical examination showed uncomplicated enamel-dentine fracture of the maxillary right canine and lateral incisor. The maxillary central incisors exhibited enamel chipping as well as many superficial enamel craze lines, and grade 1 to 2 mobility. The surrounding periodontal tissue was slightly erythematous in the cervical area of both maxillary central incisors. He had bruises and superficial lacerations on the inner surface of the upper lip. Horizontal fracture lines were radiographically evident between the middle third and the cervical third of the maxillary central incisors (Figure 1).

Bottom Line: Traumatic injuries of the face often involve root fractures especially in anterior teeth.The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance.Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Conservative Dentistry, Korea University Guro Hospital, Seoul, Korea.

ABSTRACT
Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

No MeSH data available.


Related in: MedlinePlus