1/13. Reattachment of a fractured maxillary incisor crown--case report.Management of traumatic injuries to the teeth is a challenge to the practising dentist. It has no prescriptive method for occurring, possesses no significant predictable pattern of intensity or extensiveness and occurring at times when dentists are least prepared for it. It may not only leave physical scars but also a psychological impact on its victim. Yet, more than half of all children traumatize either their primary or permanent teeth before leaving the school, coupled with the dynamic panorama of sporting activity worldwide and the significant increase in violence among the populations. tooth trauma and its management loom as a major challenge to the dental practitioner. A case of a 11 year old boy with Ellis Class 3 traumatic injury to the maxillary left central incisor is reported. A pulpectomy was performed followed by reinforcement and reattachment of the crown fragment and restoration with composite resin.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/13. tooth fragment reattachment: fundamentals of the technique and two case reports.Coronal fractures must be approached in a methodical and clinically indicated way to achieve successful restoration. One option for treatment is reattachment of the dental fragment. Reattachment creates a very positive emotional response in the patient and simplifies the maintenance of the patient's original occlusion. This article discusses dental fragment reattachment techniques and presents clinical cases of coronal fracture involving enamel, dentin, and pulpal exposure.- - - - - - - - - - ranking = 0.5keywords = fracture (Clic here for more details about this article) |
3/13. Adhesive reattachment of a tooth fragment: the biological restoration.Recent developments in restorative materials, placement techniques, preparation design, and adhesive protocols allow clinicians to predictably restore fractured teeth. Using a minimally invasive approach, treatment of the maxillary anterior region can be effortlessly completed within a single appointment. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols to ensure reliable strength, durability, and aesthetics. This article discusses the adhesive reattachment of a tooth fragment to a fractured incisor using a conservative preparation technique.- - - - - - - - - - ranking = 0.75keywords = fracture (Clic here for more details about this article) |
4/13. Partial pulpotomy and tooth reconstruction of a crown-fractured permanent incisor: a case report.Pulp exposure due to traumatic injuries in the anterior permanent teeth of adolescents is a common occurrence. A vital permanent maxillary incisor with complex crown fracture and pulp exposure was treated by partial pulpotomy and assessed clinically through pulpal sensitivity tests and radiographically for periapical healing. Partial pulpotomy consisted of pulp tissue removal to a depth of only 1 to 2 mm, then capping the pulpal wound with calcium hydroxide, lining with resin-modified glass-ionomer cement, and restoration with resin composite. At each recall (7, 15, 21, 50, 90, 150, and 250 days), no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 90 days. For long-term success, partial pulpotomy is recommended as an option for cases of traumatic pulp exposure in permanent incisors with crown fractures.- - - - - - - - - - ranking = 1.5keywords = fracture (Clic here for more details about this article) |
5/13. Single-session treatment of a major complication of dens invaginatus: a case report.Dens invaginatus is a dental malformation that may give rise to several complications. Caries of the invagination can severely weaken the whole tooth, making it susceptible to fracture. Subgingival fractures are major complications threatening tooth survival and usually require periodontal/orthodontic/prosthetic treatment if long-term viability is to be ensured. This article describes a case of single-session restoration of a fractured invaginated tooth by means of endodontic treatment followed by fragment reattachment.- - - - - - - - - - ranking = 0.75keywords = fracture (Clic here for more details about this article) |
6/13. Vital pulp therapy of mandibular incisors: a case report with 11-year follow up.This report describes a case of a young patient in whom all the mandibular incisor teeth suffered complicated crown fractures because of a car accident. For all mandibular incisors, pulpotomy with calcium hydroxide were performed in order to achieve apexogenesis and the teeth were restored with a double-seal of glass ionomer cement and composite resin. The patient was reviewed over 11 years. All the mandibular incisor teeth showed continued root development and complete apex formation. Pulp canal obliteration was observed in only the mandibular right central incisor.- - - - - - - - - - ranking = 0.25keywords = fracture (Clic here for more details about this article) |
7/13. Clinical reliability of the dentine bridge formed after pulpotomy: a case report.An exposed pulp in a crown-fractured vital young tooth may be treated with either pulp capping or pulpotomy, using a calcium hydroxide dressing. calcium hydroxide stimulates dentine bridge formation, which is a good indicator of pulp vitality. In this case it is reported that, although seriously contaminated for a long period with debris from the oral environment, the dentine bridge which formed after pulpotomy was able to function as a protective pulpal barrier. The tooth responded to an electrical pulp tester within normal limits and the periapical radiographic appearance was normal at review after 7 years.- - - - - - - - - - ranking = 0.25keywords = fracture (Clic here for more details about this article) |
8/13. Partial pulpotomy in a traumatized primary incisor with pulp exposure: case report.Crown fracture with pulp exposure in primary incisors is a rare condition. Despite the fact that the vitality of the pulp can be preserved, such teeth are usually extracted due to lack of patient cooperation. This article reports a successful conservative treatment of a fractured primary incisors with pulp exposure and undeveloped root. The child was sedated with midazolam and nitrous oxide, and partial pulpotomy was performed using calcium hydroxide. Follow-up radiographs 21 weeks later revealed closure of the apex and apposition of a dentin bridge close to the amputation site.- - - - - - - - - - ranking = 0.5keywords = fracture (Clic here for more details about this article) |
9/13. Replacement of a fractured incisor fragment over pulpal exposure: a case report.This paper is a clinical report demonstrating reattachment of a fractured incisor fragment. The fragment was replaced without the use of a filled composite resin, because the fracture had little splintering of the edges of the opposing pieces. Frank pulpal exposure was treated by an acid-etching procedure, wet bonding and surface disinfection prior to sealing of the wound site. At 1 year, the tooth is vital and has remained totally asymptomatic.- - - - - - - - - - ranking = 1.5keywords = fracture (Clic here for more details about this article) |
10/13. Pulp management in dens evaginatus.A 12-yr-old Guamanian girl presented with seven premolars displaying dens evaginatus. The pulp of one tooth was necrotic secondary to fracture of the evagination. calcium hydroxide treatment was used to induce closure of this root apex, and subsequent routine canal obturation resulted in clinical success. Three teeth had fractured evaginations and compromised coronal pulps, but the radicular pulp tissue was vital. Coronal calcium hydroxide pulpotomy procedures were performed, and root development continued on all three teeth. In one of these teeth, endodontic treatment was completed, and in the other two the radicular pulp remained vital. Three teeth had intact evaginations and vital pulps. In an attempt to protect these evaginations from trauma, composite reinforcements were placed around the evaginations. These pulps remained vital and the roots completed normal development. early diagnosis and treatment should be sought in cases of dens evaginatus to provide the greatest opportunity for complete root development.- - - - - - - - - - ranking = 0.5keywords = fracture (Clic here for more details about this article) |
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