Cases reported "Tooth Fractures"

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11/206. The long road to success.

    The conservation of teeth can involve the many facets of restorative dentistry in an attempt to retain both functional and aesthetic demands. This case report chronicles the management of a patient presenting with several traumatized teeth, which progressed through orthograde endodontics, periodontal crown-lengthening procedures, crown placement, surgical endodontics with attempted guided tissue regeneration, to eventual tooth extraction and replacement with osseointegrated implants.
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keywords = tooth
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12/206. A single visit, multidisciplinary approach to the management of traumatic tooth crown fracture.

    An immediate restorative technique resolving the acute problem of traumatic tooth fracture with pulpal and periodontal involvement, in which the fragment(s) are re-alignable. Repositioning facilitated by a custom stent, using dentine/enamel bonding. A challenging, conservative and economically viable procedure within the compass of a single visit.
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ranking = 5
keywords = tooth
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13/206. tongue piercing and insertion of metal studs: three cases of dental and oral consequences.

    "Body art" is a fashion that appears to be gaining popularity worldwide. There are many risks and potentially adverse results associated with tongue piercing. pain (the procedure is performed without anesthetics), post-placement edema and the risk of prolonged bleeding, if the blood vessels are punctured during the piercing, and fracture of tooth structures, are but a few of the risks. The purpose of the present article is to describe the consequences of three cases of tongue piercing in which metallic barbell-shaped studs were inserted: the consequences include the fracture of tooth structure, caused by the device knocking against the teeth; and inflammation and edema occurred as a result of the piercing of the tongue.
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keywords = tooth
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14/206. 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 = 2
keywords = tooth
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15/206. A multidisciplinary approach to the treatment of an intruded maxillary permanent incisor complicated by the presence of two mesiodentes.

    Treatment of a traumatically intruded maxillary incisor with an immature apex remains controversial. Treatment options include observation, surgical repositioning, or orthodontic forced eruption. Likewise, the ideal timing of surgical removal of a mesiodens is highly controversial: immediate versus delayed intervention. The complications associated with untreated supernumerary teeth include: overretention of primary teeth, delayed eruption of permanent incisors, rotations, impaction, diastema, pulp necrosis and root resorption. Less common sequelae include enlarged follicular sacs, cystic degeneration and nasal eruption. This paper describes another risk factor associated with delayed removal of a mesiodens previously not mentioned in the dental literature, namely potential complications arising from a traumatic injury, in particular intrusion, of the maxillary permanent incisors.
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keywords = eruption
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16/206. 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 = 1
keywords = tooth
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17/206. An unusual indication for root resection.

    This report presents an unusual indication for root resection of a lower molar tooth and also reviews the history of root resection.
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18/206. Treatment of a cracked tooth with a resin-ionomer restoration and a connective tissue graft: a case report.

    Treatment of a cracked tooth can be difficult and unpredictable. Quite often, the most predictable treatment possible is simply extraction. This is a case report of the treatment of a cracked tooth with a resin-ionomer restoration and a connective tissue with partial-thickness double pedicle graft. The crack was detected during a routine root coverage procedure using this type of graft. A resin-ionomer was used to repair the crack. Then, the root coverage procedure was completed. Complete root coverage was obtained, including the portion of the root that was repaired. The results remained stable and the tooth treated remained asymptomatic. Clinically, the treatment was a success.
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ranking = 7
keywords = tooth
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19/206. Clinical considerations for reattachment of tooth fragments.

    Trauma to anterior teeth is relatively common among children and teenagers; it has been estimated that approximately one quarter of the population under the age of 18 years sustain traumatic injury in the form of anterior crown fracture. Reattachment of a fractured fragment to the remaining tooth can provide esthetically pleasing results provided that the fragment is available. In this report, a systematic clinical approach through evaluation of periodontal, endodontic, coronal, and occlusal aspects is presented to help dentists analyze the factors affecting selection of techniques and materials. In addition, use of adhesive materials for tooth fragment reattachment is illustrated. Modifications of the reattachment process, including placement of veneer and radicular post, are also discussed.
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ranking = 6
keywords = tooth
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20/206. 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 = 3
keywords = tooth
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