Treatment Of Horizontal Root Fractures Research Articles

Treatment of horizontal root fracture with bioceramic cement: Case report

Horizontal root fractures involve cementum, dentin and pulp tissues, comprising between 0.5 and 7% of trauma cases that affect the permanent dentition. This paper aimed to report a case of horizontal root fracture, without immediate care, resulting from a car accident. Patient presented tooth 11 with darkening, coronary fracture and mobility grade two, in addition to negative responses to cold sensitivity tests and vertical and horizontal percussion tests. Through imaging exams, a horizontal fracture line was evidenced, with a local radiolucency. The treatment instituted was performed 12 years after the accident and consisted of endodontic treatment of the coronary fragment and its sealing with BIO-C® REPAIR bioceramic cement. Prompt care, correct diagnosis and adequate management of the case are important for a good prognosis of horizontal fractures. In the case reported, the treatment occurred in a mediate way, which may compromise the case prognosis. Close monitoring is essential to determine whether the therapy used was successful. Currently, the patient is asymptomatic.

: 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

Protocolo de tratamento conservador em fraturas radiculares horizontais de terço cervical – Relato de caso

Os traumas dentais possuem uma significante ocorrência na odontologia. As fraturas radiculares podem ser consideradas como politraumatismos por envolverem diferentes tipos de tecido: dentina, cemento, polpa e periodonto. Objetivo: mostrar uma opção de protocolo terapêutico conservador no tratamento de fraturas radiculares horizontais a fim de preservar a estrutura dental levando em consideração a condição socioeconômica do paciente. Relato de caso: paciente do sexo masculino, 15 anos, procurou a clínica de Odontologia da Universidade Federal de Alagoas onde procurou atendimento após sofrer um trauma. Ao exame clínico, observou-se que o incisivo central superior (11) apresentava fratura radicular horizontal cervical e discreto deslocamento palatino. Optou-se pela instalação de contenção semirrígida como tratamento imediato. Posteriormente uma pulpectomia do segmento coronal até a linha de fratura foi realizada com medicação intracanal composta por hidróxido de cálcio e clorexidina gel a 2%. Após 2 semanas foi realizada obturação do canal com MTA. Conclusão: O tratamento endodôntico foi realizado com sucesso, seu prognóstico depende do tipo de reparo tecidual na linha de fratura e saúde dos tecidos periodontais.

Use of MTA in conjunction with an intraradicular endodontic file splint for treatment of horizontal root fracture- A case report.

With the possibility of harnessing the regenerative potential of tissues, clinicians will find greater clinical instances where an old treatment modality used in conjunction with new materials gives greater clinical success in cases with poor clinical prognosis. This case typically illustrates such a situation where we successfully used MTATM in conjunction with an endodontic file used as an intracanal splint for repair of horizontally fractured root with minimal displacement of the fragments. DOI: 10.21276/aohdr.1829

Horizontal root fractures in posterior teeth without dental trauma: tooth/root distribution and clinical characteristics.

To describe the clinical characteristics and radiographic findings of horizontal root fractures (HRF) in posterior teeth without a history of dental trauma. A total 24 patients and 31 HRF cases in 28 posterior teeth were collected from 2006 to 2015. Clinical examinations and radiographic imaging were evaluated. Value of confidence intervals of the proportions was calculated for data presentation. The number of males (54%) was similar to females (46%). The patients were predominantly between 50 and 70years of age (75%). Most HRF cases were found in nonendodontically treated teeth (79%), without crown and bridge restorations (82%), and maxillary molars (54%). Many roots of maxillary molars had developed HRF, and the probability was nearly equal. Fractured teeth usually presented with periodontal and apical bone loss, and most patients (92%) were diagnosed with full mouth chronic periodontitis. Tooth wear was another common clinical feature amongst these patients. HRF in posterior teeth without dental trauma occurred mainly in patients aged between 50 and 70, in nonendodontically treated teeth, teeth with attrition but without crown and bridge restorations, maxillary molars and with periodontal and periapical bony destruction. Periodontal condition, occlusal wear and patients' age at diagnosis were the possible related factors. HRF in posterior teeth without dental trauma is a diagnostic challenge and even misdiagnosed. A thorough clinical examination, radiographic analysis and recognition of the clinical characteristics are helpful in the early diagnosis and treatment of HRF.

Treatments of horizontal root fractures: Four case reports

Horizontal root fractures are rare in comparison to other types of injuries and the reported prevalence in the literature is between 0.5% and 7%. The treatment and prognosis of root fractures depend on many variables, the most important being the length of time between trauma and treatment, degree of dislocation and mobility, site of fracture, fixation period, stage of root development, age of patient, and quality of treatment. The ideal healing type is hard tissue healing. The aim of these case reports is to present four different patients who had horizontal root fractures of immature permanent teeth treated by repositioning and fixation with good healing. Patients were referred to our clinic with a complaint of mobility and tenderness in their upper central incisors as a result of an orofacial injury. As a result of radiographical examination, horizontal fractures were diagnosed on the roots. Teeth were repositioned and rigid fixation was applied. Splints were retained for about 12 weeks. After splints were removed, patients were scheduled for follow-up visits at 3 month intervals. After long-term clinical and radiographical follow-up, all teeth presented positive response to electrical pulp tests, suggesting a repair of root fractures. These immature teeth showed radiographic evidence of continued root development and normal color and mobility, and no pain was observed in horizontal and vertical percussion tests. Patients reported no discomfort with their teeth. Using splints without any further treatment was found to be successful in the presence of suitable conditions for the treatment of horizontal root fractures.

Treatment of horizontal root fractures using a triple antibiotic paste and mineral trioxide aggregate: A case report

This case report describes the treatment of a horizontal root fracture in a maxillary central incisor (tooth #8) using a triple antibiotic paste and mineral trioxide aggregate. A nonsurgical endodontic treatment was performed to a coronal root canal fragment of tooth #8. During the treatment procedure, 1% sodium hypochlorite solution was used for irrigation and a triple antibiotic paste was used as an intracanal medicament. The coronal part of the canal was obturated with mineral trioxide aggregate totally. At follow-up examination after 12 months, the tooth was asymptomatic and radiographically showed repair of the fracture region. Healing was achieved without any need for further interventions.

Treatment of horizontal root fractures using MTA as apical plug: report of 3 cases

Root fractures are rare occurrences through all dental injuries. They comprise only 0.5% to 7.0% of traumas affecting the permanent teeth. Generally the cervical and middle thirds of the roots are affected. The healing of these lesions depends on the health of the pulp, dentine, cementum, and alveolar bone. These case reports describe the management and 2-year follow-up of 3 maxillary central incisors with horizontal root fractures treated with mineral trioxide aggregate (MTA) as apical plug.

Treatment of horizontal root fracture: a case report

Radicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5-7% of the cases. Traumatic dental injuries occur more frequently in young patients, and vary in severity from enamel fractures to avulsions.The magnitude of these problems is confirmed by statistical data on the prevalence of dental trauma during childhood and adolescence.Fracture occurs often in the middle-third of the root and rarely at the apical-third. The present paper reports a clinical case of a horizontal radicular fracture located between the middle- and apical-third of a upper left-central incisors followed-up over 4 years.

Use of Mineral Trioxide Aggregate in the Treatment of Horizontal Root Fractures with a 5-Year Follow-up: Report of a Case

Root fractures are those that involve dentin, cementum, and the pulp. They occur more frequently in children than adults. This case report describes the treatment and 5-year follow-up of two maxillary central incisors with horizontal root fractures using mineral trioxide aggregate and the application of intracoronal bleaching of the discolored tooth.

Uses of Calcium Hydroxide: An Online Study Guide

The Editorial Board of the Journal of Endodontics has developed a literature-based study guide of topical areas related to endodontics. This study guide is intended to give the reader a focused review of the essential endodontic literature and does not cite all possible articles related to each topic. Although citing all articles would be comprehensive, it would defeat the idea of a study guide. This section presents uses of calcium hydroxide related to apexogenesis, apexification, direct pulp cap, indirect pulp cap, internal resorption that has perforated laterally, intracanal medication, control of periapical exudates, aid in canal debridement, apical control to control obturation, external inflammatory root resorption, repair of perforations, treatment of horizontal root fractures, root canal sealers, and vertical root fractures.

A technique for the treatment of horizontal midroot fractures

Horizontal root fractures of teeth can occur as a result of traumatic incidents such as fighting, trauma from foreign bodies, or from contact sports. '-'~ From 1% to 7% of all dental injuries result in root fractures. :~ Some previous studies suggest that root fractures occur more often in men than in women4,5; 90% of root fractures (36 of 40) occurred in the middle third of the root, 10% (4 cases) occurred in the apical third, and in only 18 of .these 40 cases were the patients able to recall the accident that caused the fracture. 5 Numerous investigators ~think that all fractured roots do not need treatment.1,.~.6-1~ Factors that influence successful treatment of horizontal root fractures are pulpal response, location or level of the fracture, proximity of the fractured segments, amount of dislocation and mobility, absence of possible infection, and the patient's general health and ability for tissue repair.3-6.s-10,1~-17 Grossman s said, When root fracture occurs in the middle or coronal third of the root the prognosis is unfavorable because of the difficulty of immobilizing the tooth. Andreasen, :~ in summarizing the literature, 5,~,ls.''~ said that there is a 20% to 44% frequency of pulp necrosis after root fracture of permanent .teeth. Various therapeutic modalities for use in the treatment of root fractures have been described.l-'~,6-H,13,14,2~ The purpose of this report is to show a potentially useful procedure in ~the management of horizontal midroot fractures. Report of Case