Cases reported "Tooth Fractures"

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1/62. 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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ranking = 1
keywords = alveolar
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2/62. 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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ranking = 1
keywords = alveolar
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3/62. Root extrusion, a practical solution in complicated crown-root incisor fractures.

    Implants and fixed and removable prostheses are very successful in replacing missing units but their cost can be inhibitory to a number of patients. In addition fixed and removable prostheses can be destructive to sound abutment teeth and can result in damage to dental and soft tissue. This report describes the restoration of a tooth with a complicated incisor crown-root fracture that extended below both the gingival cuff and the alveolar crest, by using remaining tooth tissue. The restoration was completed after root extrusion with a cast post, diaphragm and core, and porcelain crown.
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ranking = 1
keywords = alveolar
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4/62. Bonded arch bars to manage traumatic injuries to the teeth and alveolar bone.

    A simple, rapid, painless, and bloodless method of successfully treating avulsed and partially avulsed teeth with or without associated dentoalveolar fractures is presented for management by the general practitioner in the office. It is a bonding technique with the key elements being a prefabricated malleable mesh backed arch bar in combination with any light curing composite procedure that is standard in the individual's office.
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ranking = 178.06580774435
keywords = dentoalveolar, alveolar
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5/62. Ridge preservation of dentition with severe periodontitis.

    Severe loss of alveolar bone height and width can occur following the removal of teeth with advanced periodontitis. This compromise of the alveolar bone can limit the options available for achieving an acceptable dental restoration. Two case reports are presented of alveolar ridge augmentation after tooth removal and before implant placement using bone grafting and a biodegradable membrane. The resultant alveolar ridges in both patients were adequate for the placement of dental implants.
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ranking = 256.21663544253
keywords = periodontitis, alveolar
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6/62. Periodontal signs and symptoms associated with vertical root fracture.

    This report describes the clinical presentation of three cases of vertical root fractures in adult patients where an initial diagnosis of localized periodontitis had been considered. Loss of the affected tooth occurred in all of these patients. The effects of endodontic therapy and the provision of post-retained restorations are considered in relation to their potential effect of weakening the root and predisposing the tooth to vertical fracture. The last case presents an unrestored molar tooth with a complete vertical root fracture.
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ranking = 50.443327088506
keywords = periodontitis
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7/62. Foreign body in the periradicular area.

    A 12-yr-old child reported to the outpatient department of D.A.V. (C) Dental College & Hospital with a history of trauma 41/2 yr earlier with pain and swelling now present in the upper anterior area for 3 days. A radiograph showed the presence of a foreign object in the periapical area of a fractured and discolored maxillary central incisor. Reported here is an unusual case of a straight pin lying in the periradicular area.
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ranking = 755.41102382735
keywords = periapical
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8/62. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract.

    A necrotic immature mandibular second premolar with periapical involvement in a 13-year-old patient was treated. Instead of the standard root canal treatment protocol and apexification, antimicrobial agents were used in the canal, after which the canal was left empty. Radiographic examination showed the start of apical closure 5 months after the completion of the antimicrobial protocol. Thickening of the canal wall and complete apical closure was confirmed 30 months after the treatment, indicating the revascularization potential of a young permanent tooth pulp into a bacteria-free root canal space.
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ranking = 957.18433218137
keywords = periapical, periodontitis
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9/62. Repair of untreated horizontal root fractures: two case reports.

    Intra-alveolar root fractures of incisor teeth are more frequent than other dental injuries. These case reports describe two untreated horizontal root fractures of the maxillary right central incisors. patients reported accidental trauma, which occurred several years ago. These fractures were discovered during a routine full-mouth radiographic survey. Teeth were asymptomatic and tested vital to electric pulp tests.
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ranking = 1
keywords = alveolar
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10/62. Use of self-etching adhesive system and compomer for splinting traumatized incisors.

    Traumatized teeth that are displaced from their normal alveolar positions need to be repositioned and stabilized so that healing can occur. Orthodontic ligature wire bonded into place with resin-based composite works well for splinting teeth. Using a self-etching adhesive bonding system and compomer material facilitates both the resin bonding and its removal. This clinical report describes a simplified resin/wire splinting procedure.
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ranking = 1
keywords = alveolar
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