Intraradicular Splinting Research Articles

Repairing the Irredeemable Fragment Reattachment of a Complicated Crown-root Fracture with Fiber Post

Coronal fracture of the anterior teeth is a commonly occurring dental trauma often seen in young individuals. Such fractures can be conservatively managed with fragment reattachment procedure when the fragment is available and preserved in correct storage media. Due to advancements in adhesive dentistry, fragment reattachment is a simple, esthetic and fast treatment option. This article reports a case of fragment reattachment of a complicated crown root fracture using fibre post as an intraradicular splint.

Stress analysis of horizontal mid-root fracture managed with different intraradicular fixation protocols: A 3D-finite element study.

The current study evaluated the stress distribution in a maxillary central incisor with mid-root fracture after splinting with different intra-radicular posts using 3D-finite element analysis (FEA).Five 3D-FEA models were constructed. Model 1 was an intact tooth with no fracture, Model 2: A tooth with a horizontal mid-root fracture, with no treatment. Model 3: Same as model 2, and intraradicular splinting using fiber post. Model 4: Same as model 2 and intra-radicular splinting using Protaper Gold file F3. Model 5: Same as model 2, and with intraradicular splinting with Ribbond. The FEA of all models was done to obtain the maximum Von-Mises stress in the root canal space, the dentin, the periodontal ligament, and the bone. The highest Von Mises stresses for the root canal space and the dentin were found in Model 3, followed by models 4, 5, and 2, and least in Model 1. The Von Mises stress of the periodontal ligament was the least in model 1. The Von Mises stress of bone was higher in all experimental models than in the baseline model. The results suggest that in cases where intra-radicular splinting is indicated, fiber posts and Ribbond are better alternatives to endodontic files due to the lower stresses exerted.

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

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.

Endodontic Management of Horizontal Root Fracture-A Case Report

Horizontal root fractures are one of the endodontic emergencies which mainly affect the maxillary central incisors. The management of the root fractures can be challenging as it requires a precise diagnosis and multidisciplinary approach in its treatment. This paper presents the endodontic management of the clinical case with horizontal root fracture by intra-radicular splinting with endodontic instrument along with MTA-based root canal sealer.

Management of Horizontal Root Fracture in the Middle Third via Intraradicular Splinting Using a Fiber Post.

Radicular fractures in permanent teeth are uncommon injuries and account for only 0.5–7% of dental traumas. These fractures commonly result from a horizontal impact and are transverse to oblique in direction. Their incidence is more in the middle third of the root than at the apical and cervical thirds. This paper describes a case of complicated crown fracture of maxillary incisors along with horizontal root fracture at the middle third of maxillary right central and lateral incisor. The fractured root fragments of the upper right central and lateral incisor were united with the help of a glass fiber post after receiving an endodontic treatment. The other two incisors were treated endodontically followed by post endodontic restorations. Eventually the four incisors were restored with porcelain fused to metal crowns. A one-year follow-up revealed a well stabilized assembly of the root fragments and the post.

Intraradicular splinting of a mid-root fracture with a fiber post

Introduction: Trauma causes fractures of anterior teeth commonly, where extraction is not considered as a part of treatment plan. This case report presents the endodontic management of a horizontally fractured right central incisor involving healing with granulation tissue, using an intraradicular splinting technique. Case Report: A patient complained of pain and mobility of the upper right front teeth since 1 day. The root canal therapy of the upper central incisor was done. The intraradicular stabilization involved placing a fiber post in the canal and luting with resin cement. Discussion: This case demonstrates that intraradicular splinting can be used to manage horizontally fractured teeth with necrotic and mobile coronal segment. The recent improvements in the dental materials resin-based restorative materials with tooth-colored fiber post are of choice because of several advantages such as esthetics, bonding to tooth structure, and low modulus elasticity similar to that of dentin.

Managment of complex crown root fracture using fibre post - A case report

Coronal fractures of permanent dentition are the most common type of dental injury. If the original tooth fragment is available following fracture, the natural tooth structures can be reattached using adhesive protocols. The development and use of fiber-reinforced composite root canal posts make possible the reattachment of the crown esthetically and reinforce the bonding of teeth fragments to the remaining natural teeth. Root fracture is one of the consequences of dental trauma. Horizontal root fractures are unfortunate accidents that most of the times affect the maxillary central incisors mainly in the middle third of the root nevertheless apical and coronal third fractures are also sometimes reported. A single fracture occurs in most cases and multiple root fracture is a rare finding. This case report presents a clinical technique of reattachment of coronal fragment of maxillary lateral incisor after trauma using direct fiber-reinforced post systems and simultaneously management of the fracture in the middle third of the root using fibre post as a intraradicular splint. Healing was observed at 1 year follow-up examination.

Exploration of various avenues in diagnostic and treatment modalities in the management of horizontal crown-root Fractures : Case reports

Management of crown-root fractures presents a formidable challenge for clinicians because of the difficulty in achieving a stable union of the fractured fragments. Root fractures in permanent teeth are uncommon injuries among dental traumas accounting for 0.5-0.7% of the cases. These case reports describe the various clinical presentations of horizontal crown-root fractures and the different treatment modalities that we as clinicians can offer to these patients. An attempt to treat these horizontal oblique fractures at various levels with these different diagnostic and treatment approaches has been solicited. Stabilization of these fractures was achieved by intra-radicular splinting and MTA as well as re-attachment of the fractured fragments. Short term follow up results showed successful management of these cases using the treatment modalities mentioned above.

Orthodontic movement of a maxillary central incisor with a horizontal root fracture treated using an intra-radicular fibre splint

This paper reports the case of a 15-year-old boy with a horizontal root fracture in the left maxillary central incisor along with class II division 1 malocclusion for whom a fixed orthodontic treatment was planned. The fracture was present at the junction of apical and middle-third as a result of trauma 2 years back. No splinting was carried out at that time and the tooth was found to be vital, asymptomatic and showed a type-1 repair pattern. An intentional root canal treatment was carried out for placement of an intra-radicular fiber splint, nearly 3 mm beyond the fracture line. Orthodontic treatment was initiated after a month; to which the fractured and splinted tooth responded successfully. This report highlights the successful use of an intra-radicular splint for horizontally fractured tooth requiring orthodontic treatment.

Intraradicular splinting of a horizontally fractured upper central incisor - A case report

Background: Mineral trioxide aggregate, or MTA, is a new material developed for endodontics that appears to be a significant improvement over other materials for fracture repair. It is the first restorative material that consistently allows for the overgrowth of cementum, and it may facilitate the regeneration of the periodontal ligament. Case Description: This case report presents the endodontic management of a horizontally fractured central incisor using an intraradicular splinting technique. The root canal of the left central incisor was temporarily filled with calcium hydroxide slurry. This was followed by intraradicular splinting of the tooth using a NiTi file and MTA as sealer. This case demonstrates that intraradicular splinting can be used to manage horizontally fractured teeth. Clinical Implications: Materials such as zinc oxide-eugenol cement and resin composite have been used in the past to repair root defects, but their use resulted in the formation of fibrous connective tissue adjacent to the bone. Because it allows the overgrowth of cementum and periodontal ligament, MTA may be an ideal material for certain endodontic procedures.

Intraradicular splinting of a horizontally fractured central incisor: a case report

This case report presents the endodontic management of a horizontally fractured right incisor involving healing with granulation tissue using an intraradicular splinting technique. We also discuss the spontaneous healing of the fractured left central incisor with calcified tissue. A composite resin splint was made for all of the upper anterior teeth. The root canal of the right incisor was temporarily filled with calcium hydroxide slurry. The intraradicular splinting involved placing a file in the canal. Sealer was introduced into the canal and then a no. 110 K file was fixed in the canal with polycarboxylate cement. The tooth was asymptomatic and the composite splint was removed after 1 month. The right incisor appeared normal clinically and radiographically at the 30-month recall. This case demonstrates that intraradicular splinting can be used to manage horizontally fractured teeth with necrotic and mobile coronal segment.

Intraradicular splinting with endodontic instrument of horizontal root fracture – case report

This case report describes the treatment of a horizontal mid-root-fractured incisor with an alternative fixation technique. As a result of clinical signs of pulpal necrosis, both the coronal and the apical root fragments were endodontically treated and obturated at single visit, and the fragments were stabilized internally through insertion of a stainless-steel endodontic file into the root canal. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line. This technique can be a quick remedy for patients with root-fractured tooth, especially for those who cannot make a second visit to the dental clinic.