Management Of Horizontal Root Fracture Research Articles

Management of horizontal root fracture with root resorption at apical third using calcium silicate-based cement -A case report

Management of horizontal root fracture with root resorption at apical third using calcium silicate-based cement -A case report

Interdisciplinary management of horizontal root fracture in middle third with osseous bone defect – A clinical report

Dental trauma are the main cause of emergencies in dental practice. Amongst these, root fractures are relatively uncommon but comprises about 0.5 to 7% of all injuries affecting permanent dentition. Most commonly, root fracture occurs from a horizontal impact mostly in oblique direction. The incidence is more common at the mid-third of the root rather at the apical and cervical thirds. Such hideous injury must be restored to normal as early as possible to retain the dental health and appearance. This report records the case of horizontal root fracture of upper anterior tooth, treated with Mineral Trioxide Aggregate (MTA) and fractured root fragments were unified with the aid of a stainless steel reamer after an endodontic treatment. Alloplastic bone graft and GTR membrane were used for osseous bone defect. Mineral trioxide aggregate (MTA) has several impending & forthcomin clinical applications owing to its grander sealing property and biocompatibility. A 12 months follow-up revealed a well stabilized assembly of the root fragments and periodontal healing.

Management of a complicated horizontal root fracture in a 12-year-old child using mineral trioxide aggregate: A case report

Root fractures occur more commonly in fully erupted permanent teeth with closed apices in which the completely formed root is solidly supported in the bone and periodontium. The consequences can be multifaceted because of collective damage to the pulp, dentine, cementum, bone, and periodontium. Management of horizontal root fractures depends on several factors, with the effect of various clinical modalities have been suggested. This case report describes the treatment of permanent maxillary right central incisors, treated with mineral trioxide aggregate (MTA) and follow up showed a successful treatment outcome.

: The Use of Mineral Trioxide Aggregate in The Treatment of Horizontal Root Fractures: A Case Presentation and Literature Update

Root fracture is a rarely seen traumatic injury in permanent dentition. It has a prevalence of 0.5-7 %. Tooth survival is significantly affected by the type of healing and the location of the root fracture. Additionally, the patient’s age, stage of root development, mobility and dislocation of the coronal fragment, and diastasis between fragments following this kind of injury are among the important factors.
 In this case presentation, the management with MTA plug and 6-year follow-up of a horizontal root fracture was reported. A literature update regarding the use of MTA in the management of horizontal root fractures was also added to discuss its merit.

Management of Oblique Root Fracture Using Mineral Trioxide Aggregate: A Case Report

Management of Oblique Root Fracture Using Mineral Trioxide Aggregate: A Case Report

Conservative management of displaced horizontal root fracture in vital maxillary premolar: A case report

Background/Aim: The management of horizontal root fracture is not straight forward. It depends upon the location of the fracture, mobility and vitality of fractured tooth segment. The goal of treatment is to restore the shape and function of affected tooth. Case report: This following case report described the conservative management of horizontal root fracture which was also displaced but somehow maintained its vitality. The affected tooth was initially stabilized and followed up in the subsequent appointments for evaluation of vitality that turned out to be vital, thus, preventing any unnecessary intervention. Conclusions: Horizontal root fractures in the vital teeth should be initially managed conservatively and every effort should be made to preserve the vitality of tooth.

Clinical management of horizontal root fractures aided by the use of cone-beam computed tomography

Aim: To present a a therapeutic approach in a case series of teeth that suffered some root fracture at different thirds with a follow-up period of 24 months. Summary: Dental trauma occurs with great frequency to the maxillary incisors, and, sometimes, horizontal root fractures are caused. The classification and severity of horizontal root fractures are based on the location of the fracture line and on the degree of dislocation of the coronal fragment. Diagnosis of horizontal root fractures is based on clinical findings, sensibility tests, and principally in radiographic and cone-beam computed tomography (CBCT) examination. The following cases report describes the diagnosis and treatment of four maxillary central incisors with horizontal root fractures. In three of the cases described, the healing occurred through the interposition of connective tissue where radiographically was possible to observe a radiolucent at the level of the fracture line and the rounding of the fragment angles. In one case, the healing occurred by calcified tissue, which can be seen radiographically in the fracture line, but the fragments are in close contact. In addition to a proper treatment plan, the International Association of Dental Traumatology (IADT) stresses the importance of patient compliance with follow-up, and daily care visits for better healing after dental trauma. Knowledge of existing protocols for this type of injury and periodic monitoring of cases has shown the success of the treatment so far.

A five-year follow-up of a root fracture in a ten-year-old boy

The management of horizontal root fracture still presents a challenge to clinicians. The case of a 10-year-old boy with a horizontal root fracture in the left maxillary central incisor (tooth number 21) is described here. The fracture was present at the junction of the apical and the middle thirds. We report both the emergency care and the 5-year follow-up. At the same time, an orthodontic treatment was planned for a retained maxillary cuspid (tooth number 23), first composed of a high-pull headgear and then by a fixed multi-bracket appliance. Today, the tooth number 21 remains vital and symptomless. This report highlights the successful management of a horizontally fractured tooth requiring orthodontic treatment. Our work also underlines the advantages of 3D images [cone-beam computed tomography (CBCT)] in positive and differential diagnosis especially in the event of a suspicion of post-traumatic complication.

Clinical management of horizontal root fractures aided by the use of cone-beam computed tomography

AimTo present a a therapeutic approach in a case series of teeth that suffered some root fracture at different thirds with a follow-up period of 24 months. SummaryDental trauma occurs with great frequency to the maxillary incisors, and, sometimes, horizontal root fractures are caused. The classification and severity of horizontal root fractures are based on the location of the fracture line and on the degree of dislocation of the coronal fragment. Diagnosis of horizontal root fractures is based on clinical findings, sensibility tests, and principally in radiographic and cone-beam computed tomography (CBCT) examination. The following cases report describes the diagnosis and treatment of four maxillary central incisors with horizontal root fractures. In three of the cases described, the healing occurred through the interposition of connective tissue where radiographically was possible to observe a radiolucent at the level of the fracture line and the rounding of the fragment angles. In one case, the healing occurred by calcified tissue, which can be seen radiographically in the fracture line, but the fragments are in close contact. In addition to a proper treatment plan, the International Association of Dental Traumatology (IADT) stresses the importance of patient compliance with follow-up, and daily care visits for better healing after dental trauma. Knowledge of existing protocols for this type of injury and periodic monitoring of cases has shown the success of the treatment so far.Key-learning points:(1)The diagnosis of root fractures requires a detailed examination, both clinical and radiographic.(2)The IADT developed a guideline in order to propose an effective treatment plan.(3)The CBCT facilitates the visualization of lines fracture.(4)An immediate approach after horizontal root fractures comprises reduction, splints and occlusal adjustment.

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.

Nonsurgical management of horizontal root fracture associated external root resorption and internal root resorption

Horizontal root fractures, which frequently affect the upper incisors, usually result from a frontal impact. As a result, combined injuries occur in dental tissues such as the pulp, dentin, cementum, periodontal ligament, and alveolar bone. Internal root canal inflammatory resorption involves a progressive loss of intraradicular dentin without adjunctive deposition of hard tissues adjacent to the resorptive sites. It is frequently associated with chronic pulpal inflammation, and bacteria might be identified from the granulation tissues when the lesion is progressive to the extent that it is identifiable with routine radiographs. With the advancement in technology, it is imperative to use modern diagnostic tools such as cone beam computed tomography and radiovisuography to diagnose and confirm the presence and extent of resorptions and fractures and their exact location. This case report presents a rare case having internal root resorption and horizontal root fracture with external inflammatory root resorption both which were treated successfully following guidelines by International Association of Dental Traumatology by nonsurgical treatment with 1 year follow-up.

Management of horizontal root fracture: two case reports

Traumatic dental injuries often occur to the teeth and their supporting tissues and they are the main reasons for emergency visit to a dental clinic. Horizontal root fractures usually are characterized by a fracture line that is perpendicular to the long axis of the root. Root fractures are diagnosed through clinical and radiographic examination. Treatment depends on the position of the fracture, the extent of root involvement, correct diagnosis, clinical management, and radiographic follow-up. This article describes the successful management of intraalveolar horizontal, apical root fracture treated with Mineral trioxide aggregate (MTA) barrier and Ellis class III and middle root fracture treated by using fiber post& core.

Endodontic management of horizontal root fractures in maxillary central incisors

AbstractRoot fracture implies fracture of cementum, dentin, and pulp. These injuries are relatively infrequent as they constitute <3% of all dental injuries. When a root fracture occurs horizontally, the coronal segment may or may not be displaced. This article illustrates two varied treatment options for horizontal root fractures in maxillary central incisors. In the first case, endodontic treatment was performed using a mineral trioxide aggregate (MTA)-based sealer. In the second case, repositioning and splinting of the teeth allowed revascularization and preservation of teeth vitality. A 12-month follow-up period was reported for the two cases.

Surgical Management of Horizontal Root Fracture with Platelet Rich Fibrin (PRF) Placement: Case Report of Two Cases

AbstractRadicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5 - 7% of the cases. Horizontal root fractures can be managed endodontically or combined endodontic and surgical approach. Treatment varies according to the displacement and vitality of the fragments. This paper presents a case report of two cases of horizontal root fracture, present between the middle and apical third of central incisors, which were managed by combined endodontic and surgical approach, while in second case it was followed by PRF placement to facilitate osteoinduction and periodontal tissue regeneration.

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

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.

Horizontal root fracture treated with MTA, a case report with a 10-year follow-up

Root fractures occur more frequently in fully erupted permanent teeth with closed apices in which the completely formed root is solidly supported in the bone and periodontium. The consequences can be complex because of combined damage to the pulp, dentine, cementum, bone, and periodontium. Management of horizontal root fractures and lateral luxation depends on several factors, with the result that various clinical modalities have been suggested. This case report describes the treatment and 10-year follow-up of two maxillary central incisors, one with horizontal root fracture and the other with lateral luxation, treated with mineral trioxide aggregate and root canal treatment, respectively.

Conservative management of horizontal root fracture of a maxillary permanent incisor: case report

A case is presented of an 11-year-old boy who was diagnosed with a horizontal radicular fracture located in the middle third of a maxillary right central incisor that was immediately managed conservatively. Subsequent to the injury, the patient complained of inability to bite, a swollen upper lip and pain on palpation in the periapical region of the tooth. Clinically the tooth appeared extruded. Radiographic examination revealed a root fracture. The extruded tooth was repositioned and immobilised with a wire-composite splint, under a suitable prophylactic antibiotic and anti- inflammatory analgesic coverage for one week. Two years after trauma, the treated tooth was firm and healthy with good aesthetics and normal function.