Cases reported "Tooth Fractures"

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1/131. 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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ranking = 1
keywords = pulp
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2/131. 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 = 1.3731318762124
keywords = pulp, dental
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3/131. apexification & apexogenesis.

    When there is pulpal involvement of permanent teeth with incompletely formed roots, techniques for the induction of apical closure should be completed before endodontic therapy is begun. apexification is a method of inducing a calcified barrier at the apex of a nonvital tooth with incomplete root formation. Apexogenesis refers to a vital pulp therapy procedure performed to encourage physiological development and formation of the root end.
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ranking = 2
keywords = pulp
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4/131. 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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ranking = 0.12555151630097
keywords = dental, exposure
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5/131. A case report: recognizing factitious injuries secondary to multiple eating disorders.

    This report describes the uncommon problem of a female patient diagnosed with an eating disorder, bulimia nervosa, who reported self-mutilating dental factitious behavior. The case presents a serious diagnostic and management problem. Notwithstanding the clinical appearance of the dentition, a thorough medical-dental history was essential for this uncommon diagnosis.
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ranking = 0.2487545841416
keywords = dental
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6/131. 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 = 1
keywords = pulp
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7/131. 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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ranking = 0.4975091682832
keywords = dental
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8/131. 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 = 0.1243772920708
keywords = dental
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9/131. 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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ranking = 1.1243772920708
keywords = pulp, dental
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10/131. 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 = 0.2487545841416
keywords = dental
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