Cases reported "Tooth Fractures"

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1/229. Reattachment of a subgingivally fractured central incisor tooth fragment: report of a case.

    A case report of a 9-year-old boy with a fractured maxillary right incisor and ulcerated pulp at the fracture line is presented. On satisfactory completion of a root canal filling one week later, the access cavity was restored with glass ionomer cement. The fragment was reattached by a light activated hybrid composite during the flap surgery. tetracycline hydrochloride was applied on open root surface for a better healing.
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2/229. Unusual horizontal and vertical root fractures of maxillary molars: an 11-year follow-up.

    Intra-alveolar root fractures of posterior teeth are rare when compared with other dental injuries. This case report describes one vertical and two horizontal root fractures of teeth 3, 14, and 15. The teeth all tested normal to cold and electric pulp tests. The patient reported no history of accidental trauma, and no signs of scarring were found. These fractures were discovered during a routine full-mouth radiographic survey. All teeth were asymptomatic and in good function. During the 11 yr that followed, there was no dental treatment, except for routine periodontal maintenance. The patient had one abscess that occurred after 9 yr on tooth 3, which had to be extracted. The upper left molars are surprisingly still in function and asymptomatic. Either occlusal or lateral trauma may be the cause of these fractures. This would strongly suggest night guard appliances for patients who clench or grind. A psychological evaluation of the patient might reveal neurosis, anxiety, or stress situations affecting teeth.
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3/229. Treatment of a vertical root fracture.

    This case report presents the successful non-surgical treatment of a vertically fractured tooth by cementation with adhesive resin.
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4/229. Root canal treatment of a root-fractured incisor tooth with internal resorption: a case report.

    A case is described in which root canal treatment with calcium hydroxide was used successfully to repair a fracture site with internal resorption of the tooth.
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5/229. The dentine-bonding of a fractured non-vital anterior tooth.

    This case illustrates an alternative management of a fractured non-vital incisor using adhesive techniques to avoid the disturbance of, and offer protection to, successful endodontic treatment. The rationale for the maintenance of sound tooth structure and the minimisation of coronal leakage, while adequately restoring aesthetics, is discussed.
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6/229. Forced eruption: a multidisciplinary approach for form, function, and biologic predictability.

    There are several treatment options for patients with coronal fractures, subgingival caries perforations, and root resorption. Frequently, forced eruption is not considered, although in many cases of single-rooted teeth, forced eruption is the "gold standard" for producing an esthetic result without jeopardizing periodontal support for adjacent teeth. Sufficient tooth length, achieved through forced eruption, ensures the periodontal health of the "biologic width" and crown margin and thus a successful restorative outcome.
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7/229. Severe lateral luxation and root fracture: report of a case with 5-year follow-up.

    A case of severe lateral luxation and root fracture in upper incisors is reported. Treatment involved the repositioning and fixation of the injured teeth and endodontic treatment with calcium hydroxide. The importance of long-term follow-up is emphasized.
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8/229. CO2 laser fusion of a vertical root fracture.

    BACKGROUND: Vertical root fractures have had a poor prognosis and often have negative clinical and financial consequences for the patient. CASE DESCRIPTION: The author presents a case report in which he sealed a hairline vertical fracture associated with a vertical bone defect using a carbon dioxide, or CO2, laser at predetermined exposure parameters. Radiographic analysis at one year indicated good bone fill of the defect and a clinical examination revealed satisfactory healing. CLINICAL IMPLICATIONS: The ability to seal vertical fractures with a CO2 laser may allow dental practitioners to extend the service of certain afflicted teeth and their restorations.
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keywords = fracture
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9/229. Management of a horizontal root fracture after previous root canal therapy.

    This case report concerns a 9-year-old girl who had a horizontal root fracture of her maxillary left central incisor and had root canal therapy performed by her family dentist immediately after the injury. Because of the incomplete canal obturation, the root canal filling material was removed, and calcium hydroxide therapy was initiated. Healing at the fracture site occurred, with hard tissue forming between the root segments. The coronal segment of the root was then obturated with gutta-percha. The patient later had orthodontic treatment with some movement of the coronal segment. Six-year post-treatment follow-up shows apparent clinical and radiographic success. This case illustrates the potential for repair of a horizontal root fracture after endodontic retreatment of the coronal segment and long-term splinting.
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keywords = fracture
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10/229. Surgical extrusion of a cervically root-fractured tooth after apexification treatment.

    A case is reported in which an incisor fractured below the alveolar crest 6 months after completion of apexification treatment was surgically extruded for prosthetic coronal restoration. After the surgical procedure, a dowel post was placed in the root canal, a core was built using glass-ionomer cement, and a porcelain veneer crown restoration was completed. The 24-month follow-up examination after surgical, endodontic, and prosthetic treatments showed that the tooth was clinically and radiographically healthy and functioned well.
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