Cases reported "tooth fractures"

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11/339. 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. ( info)

12/339. Incisal edge reattachment: indications for use and clinical technique.

    This article presents an overview of the evolution of the incisal edge reattachment procedure. case reports are described of patients presenting with traumatised teeth in which the reattachment procedure was performed. A review is provided of present in vivo studies detailing long-term success rates in the clinical application of this procedure. Finally, a recommended technique for diagnosis and treatment is offered to improve success in this procedure which may benefit a significant segment of the paediatric and adolescent populations. ( info)

13/339. 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. ( info)

14/339. Form follows function: occlusion based rationale for esthetic dentistry.

    Esthetic dentistry is one of the prime essential areas in dentistry today. The purpose of this article is to address the dependent relationship between excellent esthetics and optimum occlusion. Occlusal objectives must be addressed and achieved. If one is to expect to recreate ideal esthetics, one must first thoroughly investigate, diagnose, and establish an ideal occlusal scheme. The case study within this article revisits the most imperative principle with regards to esthetics and that is: form always follows function. ( info)

15/339. The undiagnosed split-root syndrome.

    The split-root syndrome is an often misdiagnosed painful condition. The major causes of the splits have been discussed. In addition, classical symptoms associated with this syndrome have been illustrated by two case reports to facilitate the syndrome's recognition. ( info)

16/339. Epidural hematoma after minor oral trauma.

    A case report was presented in which a 15-year-old boy was beaten about the head with a baseball bat. Intraoral trauma and facial lacerations were repaired. Since results of the neurological examination were within normal limits, the patient was discharged. The next day, the patient became lethargic; however, the patient's mother did not bring the patient back to the hospital until the routine postoperative visit. At that time, the patient had right hemiparesis, was unable to speak, and was clearly obtunded. A carotid angiogram disclosed a left venous epidural hematoma in the parietal area. A craniotomy was performed with good results. The importance of follow-up neurologic examinations in cases of trauma to the face and head is stressed. ( info)

17/339. 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. ( info)

18/339. 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. ( info)

19/339. 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. ( info)

20/339. Successful root coverage: a human histologic evaluation of a case.

    connective tissue grafts combined with pedicle grafts (subepithelial grafts) have been shown to be effective in obtaining root coverage. Unfortunately, little is known about the histology of the results in humans. This is a case report of a tooth with a recession defect that was treated with a subepithelial graft. Complete root coverage was obtained. However, at 5 months postoperative the tooth had to be extracted because of a vertical root fracture. With the patient's permission, a small collar of tissue was removed with the tooth. The sample was processed and evaluated histologically. The results revealed areas of regeneration, with new bone, cementum, and connective tissue attachment coronal to the original gingival margin. No bone grafts or guided tissue regeneration membranes were used. This case report confirms that regeneration is possible with subepithelial grafts. ( info)
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