scholarly journals Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Luiz Mendes ◽  
Laisa Laxe ◽  
Leandro Passos
Keyword(s):  
Treatment Plan ◽  
Tooth Bleaching ◽  
State University ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Pulp Exposure ◽  
New Treatment ◽  
The Right

This report describes the 10-year follow-up data of a patient who underwent fragment reattachment to the maxillary central incisor after coronal fracture with pulp exposure as well as the procedures followed for functional and esthetic adjustments. A 9-year-old female patient presented at the clinic of dentistry at the State University of Rio de Janeiro with a coronal fracture and pulp exposure of the right maxillary central incisor that had occurred immediately after an accident. The intact tooth fragment was recovered at the accident site and stored in milk. The treatment plan followed was to perform direct pulp capping and tooth fragment reattachment. When the patient was 14 years old, adhesion between fragment and remaining tooth was lost, and fragment reattachment was performed. Five years later, the same tooth presented clinical discoloration and absence of sensitivity during pulp vitality tests. Subsequently, a new treatment plan was formulated, which included endodontic treatment, followed by nonvital tooth bleaching and light-cured composite resin restoration. An esthetic and natural-looking restoration was achieved. Tooth fragment reattachment is not a temporary restorative technique and requires functional and esthetic adjustments over time to maintain the biomimetic characteristics of traumatized anterior teeth and predictable outcomes.

scholarly journals Management of non-vital anterior tooth with open apex by MTA apical plug -A case report.

2019 ◽  
Vol 9 (1) ◽  
pp. 42-45
Author(s):  
Fahd AA Karim ◽  
Kazi Hossain Mahmud ◽  
Asma Sultana ◽  
Shirin Sultana Chawdhari ◽  
Moktadir Hossain ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Root Canal ◽  
Radiographic Evaluation ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
The Right ◽  
Apical Area

A 15 year old boy was presented with pain in his upper anterior teeth. On clinical examination both the maxillary central incisor revealed slight discoloration and fracture of the crown. Radiographic evaluation revealed open apex of the left central incisor and apex of the right central incisor was fully developed. Apexification with MTA apical plug was carried out in left central incisor and conventional root canal treatment was done in right central incisor. In two months follow up both the tooth were clinically and radiographically asymptomatic and the healing of the apical area of the left central incisor was continued. These finding suggests that MTA can induce formation of apical barrier in the case of non-vital tooth with open apex. Update Dent. Coll. j: 2019; 9 (1): 42-45

scholarly journals CBCT of maxillary central incisor with internal resorption: a case report

2021 ◽  
Vol 5 (3) ◽  
pp. 122
Author(s):  
Khamila Gayatri Anjani ◽  
Fahri Reza Ramadhan ◽  
Azhari Azhari
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Cone Beam ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Characteristic Appearance ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
History Of ◽  
The Right

Objectives: The aim of this case report is to report the radiographic features of an internal resorption in maxillary central incisor and to emphasize the benefits of CBCT in this case. Case Report: A 14-year-old male went to Universitas Padjadjaran Dental Hospital with a discoloration of his fracture upper anterior teeth. The anamnesis revealed that the patient had history of a fall in about 6 years ago. Patient didn’t complain about pain when examination happened and wanted to have his teeth treated. Periapical radiograph showed an internal resorption in maxillary central incisor. Cone beam computed tomography (CBCT) was used to see other findings before determining the treatment plan. Conclusion: Internal resorption gives a characteristic appearance on the radiograph. CBCT modalities provide more information than conventional ones so that the use of this modality is not only to establish a diagnosis, but also can be used in determining the right treatment plan.

Esthetic Smile Rehabilitation through Autogenous Bonding of Dental Fragment: A Case Report

2012 ◽  
Vol 37 (1) ◽  
pp. 5-8
Author(s):  
L Gonçalves-Sena ◽  
AC Guimarães Rosa Dutra ◽  
P Corrêa-Faria ◽  
AM Botelho ◽  
ML Ramos-Jorge ◽  
...  
Keyword(s):  
Case Report ◽  
Execution Time ◽  
Functional Results ◽  
Composite Resins ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Natural Function ◽  
Pulp Exposure ◽  
Bonding Method

Autogenous tooth fragment bonding offers advantages over restorations with composite resins and porcelain, including better esthetics, greater durability, reestablishment of the natural function of the dental element and short execution time. A case is presented of a 14-year-old male patient who suffered an oblique crown fracture of the permanent right maxillary central incisor (11) due to a traumatic fall. The clinical examination revealed pulp exposure with no invasion of the biological space. Due to the extension of the fracture, endodontic treatment and the placement of an intra-root esthetic pin was needed. The tooth was restored using the autogenous fragment bonding method. Excellent esthetic and functional results were observed after two years of follow up.

scholarly journals Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Ersan Çiçek ◽  
Neslihan Yılmaz ◽  
Mustafa Murat Koçak
Keyword(s):  
Mineral Trioxide Aggregate ◽  
Radiographic Examination ◽  
Central Incisor ◽  
Radiographic Findings ◽  
Maxillary Central Incisor ◽  
Central Tooth ◽  
Root Fractures ◽  
The Right ◽  
Dental Injuries

Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors.Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation.Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal.Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.

scholarly journals Management of a Class I malocclusion with traumatically avulsed maxillary central and lateral incisors

2018 ◽  
Vol 89 (4) ◽  
pp. 661-671
Author(s):  
Nesrine Z. Mostafa ◽  
Anthony P. G. McCullagh ◽  
David B. Kennedy
Keyword(s):  
Treatment Approach ◽  
Class I ◽  
Lateral Incisor ◽  
Central Incisor ◽  
Deep Bite ◽  
Maxillary Central Incisor ◽  
Orthodontic Space Closure ◽  
Anterior Teeth ◽  
Space Closure ◽  
The Right

ABSTRACT This case report describes orthodontic space closure for managing an avulsed maxillary central incisor and a lateral incisor in a growing girl with a Class I deep bite malocclusion with moderate lower and mild upper crowding. The treatment approach moved a central incisor across the midline and substituted a lateral incisor for a central incisor, in combination with canine substitution. Veneers on all maxillary anterior teeth attained acceptable esthetics. The right central incisor was moved to serve as the avulsed left central incisor. The right lateral incisor was moved to the position of the right central incisor and restored. The canines on both sides were substituted as lateral incisors; the posterior occlusion was left in Class II. Mesialization of central and lateral incisors with prosthetic rehabilitation is an acceptable treatment option.

scholarly journals The importance of cone-beam computed tomography for the diagnosis and treatment plan of florid cemento-osseous dysplasia: a case report

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Natállia Corrêa ◽  
◽  
Hary Silva ◽  
Cristine Amaral ◽  
Claudia Valle ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Resorption ◽  
Treatment Plan ◽  
Cone Beam ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Osseous Lesion ◽  
Osseous Dysplasia ◽  
The Right

Cone-beam computed tomography (CBCT) provides images without overlapping anatomical structures, which is important for the diagnosis and assessment of florid cemento-osseous dysplasia. This fibro-osseous lesion that affects the alveolar process without compromising the teeth’ pulp vitality is usually asymptomatic, and bone expansion, cortical disruption, and root resorption are uncommon. Due to its avascular characteristic, surgical procedures are often contraindicated. In this case, a 59-year-old female patient presented with a complaint of pain in the right maxillary central incisor. Panoramic and periapical radiographs showed florid cemento-osseous dysplasia in some regions. The right maxillary central incisor showed an extensive radiolucent image suggestive of root resorption but without fibro- -osseous lesion. For better evaluation and implant planning, CBCT was performed and demonstrated florid cemento-osseous dysplasia adjacent to the right maxillary central incisor, contraindicating implant placement. In other regions, CBCT enabled the identification of the expansive features of this fibro-osseous lesion.

scholarly journals Anterior crossbite treatment in the transitional period of mixed dentition: a case report

2021 ◽  
Vol 10 (13) ◽  
pp. e186101321234
Author(s):  
Marcos Rogério de Mendonça ◽  
Mayra Fernanda Ferreira ◽  
Priscila Maria Marchesini ◽  
Tamires Passadori Martins ◽  
Alberto Carlos Botazzo Delbem ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Specific Treatment ◽  
Transitional Period ◽  
Mixed Dentition ◽  
Class I ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Deciduous Molars

Anterior crossbite refers to the abnormal vestibulolingual relationship in the sagittal dimension between one or more anterior superior and inferior anterior teeth. It can be classified as dental, functional or skeletal. Each has its own diagnostic criteria and specific treatment, and it is up to the dentist to know how to distinguish between these different natures of malocclusion. In this sense, the aim of this study is to show a case report about an ACM. Patient HCA, female, 7 years old, attending the Preventive Orthodontics Clinic of the Faculty of Dentistry of Araçatuba - UNESP, having as main complaint “untidy front tooth”. The patient has no history of systemic diseases or medication use. The patient was in the first transitional period of mixed dentition with her right maxillary central incisor in crossbite relationship with its antagonists mandibular central incisor. On both sides, the patient had the first permanent molars in Class I relationship, the deciduous second molars with mesial step and the deciduous canines in a Class I. Initially, an acrylic appliance with an expander was installed. Due to lack of cooperation, the treatment plan was changed and the patient received a fixed appliance with a 2x2 configuration, with brackets on maxillary central incisors and edgewise tubes on maxillary deciduous molars. In the lower arch, a bite lift was performed on the occlusal surface of mandibular deciduous molars to unblock the occlusion and facilitate the movement of right maxillary central incisor. The total treatment time was 60 days.

scholarly journals Management and Follow-Up of Complicated Crown Fractures with Intrusive Luxation of Maxillary Incisors in an 8-Year-Old Boy

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Niusha Abazarian ◽  
Shabnam Milani ◽  
Moahammad Hassan Hamrah ◽  
Marzieh Salehi Shahrabi
Keyword(s):  
Root Resorption ◽  
Medical Science ◽  
Severe Form ◽  
Central Incisor ◽  
Dental Injury ◽  
External Root Resorption ◽  
Pulp Exposure ◽  
Maxillary Incisors ◽  
The Right

Intrusive luxation is a severe form of dental injury which causes damage to the pulp and supporting structures of a tooth because of its dislocation into the alveolar process. This paper shows the case of the reeruption of maxillary incisors accompanied by complicated crown fractures after 3 months. An 8-year-old boy patient was referred to the Department of Pedodontic Dentistry of Tehran University of Medical Science, Tehran, Iran, 18 hours after a fall at school. Clinical and radiographic examinations revealed intrusive luxation of both incisors with complicated crown fractures. Cervical pulpotomy is the treatment of choice for traumatized immature intruded teeth with pulp exposure. Two months later, the right central incisor teeth reerupted to a normal position and the final aesthetic restorations were done. The left central incisor was spontaneously repositioned with external root resorption, and the team decided to use interim medication (calcium hydroxide) in the root canal for stopping the process of resorption, and by the 9-month follow-up, the process of resorption had been stopped. An MTA plug was placed into the canal, and the final esthetic restorations were done.

scholarly journals Severe Case of Delayed Replantation of Avulsed Permanent Central Incisor: A Case Report with Four-Year Follow-Up

Medicina ◽  
2020 ◽  
Vol 56 (10) ◽  
pp. 503
Author(s):  
Luísa Bandeira Lopes ◽  
João Botelho ◽  
Vanessa Machado
Keyword(s):  
Case Report ◽  
Poor Prognosis ◽  
International Association ◽  
Severe Case ◽  
Rare Occurrence ◽  
Central Incisor ◽  
Traumatic Injuries ◽  
Maxillary Central Incisor ◽  
The Right

Avulsion is one of the most serious dental traumatic injuries with a reserved prognosis. This case report describes multiple trauma lesions in permanent central incisors of an eight-year-old girl and a four-year follow-up. The right upper incisor suffered avulsion, remained 16 h extraorally, and was replanted after extraoral endodontic therapy. The left maxillary central incisor suffered a noncomplicated crown fracture with concomitant subluxation. The present case adds to the literature a rare occurrence of success in a severe case with poor prognosis. For this reason, the International Association for Dental Traumatology (IADT) guidelines should be followed and, even in extreme situations, replantation should always be considered.

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.

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