scholarly journals Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Merve Mese ◽  
Merve Akcay ◽  
Bilal Yasa ◽  
Huseyin Akcay
Keyword(s):  
Composite Resin ◽  
Pediatric Dentistry ◽  
Multidisciplinary Management ◽  
Flap Surgery ◽  
Successful Management ◽  
Root Fracture ◽  
Crown Root ◽  
Maxillary Lateral Incisor ◽  
The Right ◽  
Luting Composite

The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disclosed that the apexification procedure had been started to be performed after his first trauma experience and he had neglected his appointment. The coronal fragment was gently extracted; endodontic treatment was performed; flap surgery was performed to make the fracture line visible. The coronal fragment was reattached to the root fragment with a dual-cure luting composite. A fiber post was stabilized and the access cavity of the tooth was restored with composite resin. At the end of the 24th month, the tooth was asymptomatic, functionally, esthetically acceptable and had no periapical pathology. It is important for the patients undergoing apexification treatment to keep their appointments because of the fracture risk. Restoration of the fractured tooth by preparing retention grooves and a bonding fiber-reinforced post are effective and necessary approaches for successful management.

scholarly journals Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation

2014 ◽  
Vol 32 (2) ◽  
pp. 190 ◽  
Author(s):  
VinayaKumar Kulkarni ◽  
ChitraP Bhusari ◽  
DivyaS Sharma ◽  
Prashant Bhusari ◽  
Jeevanand Deshmukh ◽  
...  
Keyword(s):  
Multidisciplinary Management ◽  
Root Fracture ◽  
Crown Root ◽  
Biologic Width

Biological Restoration in a Young Patient with a Complicated Crown Root Fracture with an Autogenous Tooth Fragment

2013 ◽  
Vol 38 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Vinaya Kumar Kulkarni ◽  
Raja Sridhar ◽  
Mahesh Kumar Duddu ◽  
Naveen Reddy Banda ◽  
Saket Vyawahare ◽  
...  
Keyword(s):  
Composite Resin ◽  
Simple Procedure ◽  
Careful Evaluation ◽  
Root Fracture ◽  
Tooth Structure ◽  
Crown Root ◽  
Bonding System ◽  
Glass Fiber Post ◽  
Root Fractures ◽  
Biologic Width

Crown-root fractures are one of the most challenging trauma cases to treat. Reattachment of tooth fragment to a fractured tooth being a simple procedure conserves the tooth structure, maintains the natural esthetics value and is thus considered as a favorable treatment option. The reattachment procedure using composite resin should be considered if the subgingival fracture can be exposed to provide isolation after a careful evaluation of the biologic width involvement. This case report presents a complicated crown-root fracture of permanent maxillay left central incisor, involving the biologic width in an 11-year-old boy. The traumatized tooth was treated endodontically and reinforced by using glass fiber-post. Access to the subgingival margins was gained by electro surgery. The fractured fragment was reattached using bonding system and composite resin.

scholarly journals Management of a Complicated Crown-Root Fracture using Single-Visit Endodontic Treatment and Fiber Post as an Intracanal Anchorage

2013 ◽  
Vol 3 (1) ◽  
pp. 33-36
Author(s):  
Pradnya Vilas Bansode ◽  
Seema Dhananjay Pathak ◽  
Rahul Bhikanrao Deore
Keyword(s):  
Composite Resin ◽  
Treatment Approach ◽  
Endodontic Treatment ◽  
Fiber Post ◽  
Root Fracture ◽  
Maxillary Central Incisor ◽  
Single Visit ◽  
Crown Root ◽  
Improved Function ◽  
And Function

ABSTRACT This case report describes the management of complicated crown-root fracture of a maxillary central incisor. Initially, the fractured fragment was stabilized by splinting it with composite and wire splint to adjacent teeth. During next appointment single-visit endodontic treatment was performed, the fractured crown portion was reattached using fiber post and composite resin. Success was achieved by normality in function, esthetics, health of tooth and surrounding periodontal structures. This reattachment technique presents several advantages, such as better and long-lasting esthetics, improved function and a positive psychological response, faster and less complicated procedure. The main objective of the presented technique restoration is to provide highly conservative approach that combines esthetics and function. Advantages, disadvantages and prognosis of this treatment approach are discussed. How to cite this article Bansode PV, Pathak SD, Deore RB. Management of a Complicated Crown-Root Fracture using Single-Visit Endodontic Treatment and Fiber Post as an Intracanal Anchorage. Int J Prosthodont Restor Dent 2013; 3(1):33-36.

scholarly journals Partial Pulpotomy with Mineral Trioxide Aggregate in Permanent Incisors with Complicated Crown Fracture: 5-Year Follow-Up

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Dental Trauma ◽  
Central Incisor ◽  
Root Fracture ◽  
Crown Root ◽  
Pulp Exposure ◽  
Traumatic Dental Injuries ◽  
The Right ◽  
Dental Injuries

Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.

scholarly journals Crown root fracture imaging on Cone Beam Computed Tomography

2021 ◽  
Vol 5 (3) ◽  
pp. 112
Author(s):  
Anak Agung Gde Dananjaya Agung ◽  
Ni Ketut Ayu Lestarini
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Fracture Line ◽  
Cone Beam ◽  
Root Fracture ◽  
Crown Root ◽  
Lower Jaw ◽  
Alveolar Crest ◽  
The Right ◽  
Lateral Periodontal Cyst

Objectives: This case report is aimed to describe the features of CBCT in assessing tooth fracture. Case Report: A 50-year-old man came with complaints of discomfort in the right lower jaw area, especially when used for chewing. The results of the percussion test were positive. CBCT examination showed that there was a radiolucent image of the enamel in the middle of the crown root to the 1/3 apical of the mesial and distal roots of tooth 47 which resembled a fracture line. The fracture line also appears to have reached the pulp. In addition, there is a well-defined radiolucent appearance with an irregular shape along the root from the buccal to lingual alveolar crest and accompanied by a decrease in the alveolar crest. The fracture that occurred in this case was from the enamel to the apical and involved the pulp, thus the radiodiagnosis on tooth 47 was a complicated crown root fracture with lateral periodontal cyst. Conclusion: CBCT can be used to help identify tooth fractures by obtaining a more accurate and useful value in differentiating conditions associated with fractures. CBCT provides data on the size and length of the fracture line and the size of the lesion.

scholarly journals Multidisciplinary Approach to the Treatment of an Unusual Crown Fracture after Trauma: Alternative Technique Proposal

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Cesar dos Reis Perez
Keyword(s):  
Multidisciplinary Approach ◽  
Traumatic Injury ◽  
Dental Trauma ◽  
Multidisciplinary Management ◽  
Isolation Technique ◽  
Root Fracture ◽  
Crown Root ◽  
Alternative Approach ◽  
Unique Aspect ◽  
Pulp Exposure

This case report presents multidisciplinary management of a sub gingival crown-root fracture of a 15-year-old patient referred to the dental trauma clinic with an extensive tooth fracture of the permanent maxillary central incisors after a traumatic injury during a volleyball game. This work aimed to present an alternative approach for complicated dental fracture after trauma obtaining immediate resolution. A unique aspect of the case was that the patient was referred from the semiology clinic without pain and with signs of extensive cracking after 13 days of trauma. However, no endodontic involvement was observed either clinically or radio graphically. After examining a probe, the fracture trace dislocated with pulp exposure and sub-gingival extension. An alternative isolation technique was presented to enable immediate endodontic treatment and restoration of fractured teeth.

scholarly journals Quantification of color variation of restorative materials used on pediatric dentistry after pigmentation

2015 ◽  
Vol 63 (4) ◽  
pp. 383-388
Author(s):  
Luísa Bandeira Pires Monteiro LOPES ◽  
Andreia Sofia Lopes de ARAÚJO ◽  
Virginia Barreiros MILAGRE
Keyword(s):  
Composite Resin ◽  
Color Change ◽  
Artificial Saliva ◽  
Pediatric Dentistry ◽  
Color Variation ◽  
Control Group ◽  
Chocolate Milk ◽  
Glass Ionomer Cements ◽  
Glass Ionomer ◽  
Restorative Materials

Objective: To quantify the color variation of two glass ionomer cements and a composite resin used in pediatric dentistry, after being immersed in different pigments agents. Methods: Using two glass ionomer cements (Ketac(tm) Molar and Photac(tm) Fil) and a microhybrid composite resin (Filtek(tm) z250), were produced 40 disks of each material (10 mm in diameter and 2 mm thick). The samples were soaked in artificial saliva (control group), coke, peach Ice Tea(r) and chocolate milk, for 72 hours in an oven at 37ºC. After this period, the samples were washed in 50 ml of distilled water. Finally, using the spectrophotometer, it was made the reading of results. The color change was measured according to the CIE L * a * b * system. Color changes were statistically analyzed using parametric one-way ANOVA and ANOVA with Welch correction, the nonparametric Kruskal-Wallis tests and post-hoc Tukey and Dunnet T3 with p≤ 0.05. Results: The immersion of restorative materials in different pigmentation agents caused a significant color variation on the samples. The agent who presented higher results was the Peach Ice Tea(r). The chocolate milk was the fluid with lowest pigmentation capacity of all restorative materials under study. The greater color variation was found on the Ketac(tm) Molar submerged in Coca-Cola(r) and the smallest on the Filtek(tm) z250 in chocolate milk. Conclusion: All restorative materials were shown to be susceptible to pigmentation by all agents. The Filtek(tm) z250 proved to have better color stability, followed by Photac(tm) Fil and finally by Ketac(tm) Molar.

scholarly journals Effect of surface treatments of laboratory-fabricated composites on the microtensile bond strength to a luting resin cement

2004 ◽  
Vol 12 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Carlos José Soares ◽  
Marcelo Giannini ◽  
Marcelo Tavares de Oliveira ◽  
Luis Alexandre Maffei Sartini Paulillo ◽  
Luis Roberto Marcondes Martins
Keyword(s):  
Bond Strength ◽  
Hydrofluoric Acid ◽  
Composite Resin ◽  
Surface Treatments ◽  
Resin Cement ◽  
Single Bond ◽  
Microtensile Bond Strength ◽  
Bonded Interface ◽  
Luting Composite ◽  
Effect Of Surface

The purpose of this study was to evaluate the influence of different surface treatments on composite resin on the microtensile bond strength to a luting resin cement. Two laboratory composites for indirect restorations, Solidex and Targis, and a conventional composite, Filtek Z250, were tested. Forty-eight composite resin blocks (5.0 x 5.0 x 5.0mm) were incrementally manufactured, which were randomly divided into six groups, according to the surface treatments: 1- control, 600-grit SiC paper (C); 2- silane priming (SI); 3- sandblasting with 50 mm Al2O3 for 10s (SA); 4- etching with 10% hydrofluoric acid for 60 s (HF); 5- HF + SI; 6 - SA + SI. Composite blocks submitted to similar surface treatments were bonded together with the resin adhesive Single Bond and Rely X luting composite. A 500-g load was applied for 5 minutes and the samples were light-cured for 40s. The bonded blocks were serially sectioned into 3 slabs with 0.9mm of thickness perpendicularly to the bonded interface (n = 12). Slabs were trimmed to a dumbbell shape and tested in tension at 0.5mm/min. For all composites tested, the application of a silane primer after sandblasting provided the highest bond strength means.

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