scholarly journals Management of an Unsuccessful Regenerative Endodontic Procedure after Tooth Fracture: A Case Report

2020 ◽  
Vol 8 (3) ◽  
pp. 94
Author(s):  
Luísa Bandeira Lopes ◽  
Francisco Paredes ◽  
Andreia Pimenta ◽  
Inês Carpinteiro

Dental trauma is a very frequent occurrence in children and adolescents, which creates a great impact on the esthetics, functions, and phonetics. Traumatic dental injuries can range from simple enamel fractures to permanent tooth loss. This case report presents an eight-year-old patient with an uncomplicated crown fracture of tooth 21, and 30 days after trauma, it was diagnosed as necrotic pulp. The first treatment choice was a regenerative endodontic procedure (REP), however, the failure led to apexification with Mineral Trioxide Aggregate (MTA). The chosen rehabilitation was a composite veneer. Concerning the available literature and fracture enamel dentin, the treatment approach proposed for the case provided good functional and esthetic outcomes.

2015 ◽  
Vol 26 (1) ◽  
pp. 68-70

Dental trauma is very common, especially in children and adolescents. Tooth avulsion (exarticulation), which is a result of complete rupture of periodontal ligaments is one of the most severe dental injuries. The treatment of choice in avulsion of permanent teeth is reimplantation. Survival of reimplanted teeth depends greatly on the time and conditions in which teeth were stored outside the oral cavity. This report presents a case of 18-year old male with avulsion of central maxillary incisors. The teeth were reimplanted 14 hours after injury. During 8-year follow up no major complications occurred and the teeth still maintain their function, although signs of mild replacement resorption are visible on the follow-up radiographs.


2013 ◽  
Vol 03 (01) ◽  
pp. 86-89
Author(s):  
Aditya Shetty ◽  
C. Ravi Chandra ◽  
Mithra N. Hegde ◽  
Uday S. Mahale ◽  
Ganesh Bhat

AbstractInjury to anterior teeth is a relatively common event. Dentists regularly deal with management of dental trauma and restoration of fractured teeth. Hence the treatment approach and medicaments that assures the biologically acceptable healing and improve long term success rate are of potential value and should be considered.A big cystic lesion, which is unable to heal non-surgically, heals well with use of Mineral Trioxide Aggregate (MTA Angelus) by surgical approach. Results of clinical trials have recommended the use of MTA as the most suitable root end filling material.This article presents the case report of management of big cystic lesion along with the lateral root perforation with maxillary left central incisor. Root canal treatment was followed by the resection of root end of tooth in question at the level of perforation and sealed with MTA. 12 month's follow up radiograph showed completely healed Cystic lesion.


2021 ◽  
Vol 10 (22) ◽  
pp. 1709-1714
Author(s):  
Amitha M. Hegde ◽  
Sonali Sodhi

BACKGROUND Every child is prone to traumatic injuries, the impact of these injuries is directly related to the intensity, force and direction from which the trauma is inflicted. Trauma to the oral cavity is rather more common in children and adolescents as compared to the adult population. Since dental trauma is unanticipated, instantaneous and accidental, it often needs immediate and emergency management, depending on the severity of the injury. Thus, it is tremendously important to understand the patterns of incidence, prevalence, aetiology and risk factors associated with traumatic dental injuries. This article aims to review the epidemiology, incidence, prevalence, aetiology, risk factors and current trends of traumatic dental injuries in children and adolescents. The aetiologic factors vary among countries and within different age groups. The risk of sustaining traumatic dental injuries is generally dependent on several elements like age, circumstance, geography, behaviour and culture. Changing lifestyle especially related to urbanisation has led to amplification in the prevalence of dental trauma. The emergence of new trends in the modern society has led to creation of newer patterns and risk factors for the same. Traumatic dental injuries are linked to biological, social, financial and psychological factors. This article provides an overview on the epidemiology of traumatic dental injuries. This topic is of public health importance. This review is important to understand the underlying risk factors in order to reduce the prevalence and incidence of dental trauma. Educating the public regarding this will reduce the incidence of dental trauma. KEY WORDS Dental Trauma, Aetiology, Risk Factors, Epidemiology, Prevalence, Prevention, Paediatric Dentistry


2021 ◽  
Author(s):  
Andreas Agouropoulos ◽  
Nancy Pavlou ◽  
Marilena Kotsanti ◽  
Sofia Gourtsogianni ◽  
Giorgos Tzanetakis ◽  
...  

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 143-151
Author(s):  
Aslı Soğukpınar Önsüren ◽  
Sevcan İpek

Aim: The aim of this study was to measure the knowledge levels and attitudes of medical students in Kahramanmaraş city on traumatic dental injuries, particularly dental avulsion. Methodology: A total of 224 students studying at the medical school in Kahramanmaraş province were included in this research. The students filled out two-part questionnaire forms containing 17 items in total. We used descriptive frequency analysis, crosstabs, and the chi-square test. Results: Only 7.6% of the students had received relevant training on dental injuries; however, 70.6% did not find the training sufficient. In the case report on replanting a primary tooth, 70.1% of the participants agreed that the primary tooth should not be replanted. In the case report on replanting a permanent tooth, 70.5% of them stated that, although they knew the fallen tooth to be a permanent tooth, they would refer the patient to a dentist immediately because they did not have relevant knowledge for the case. Additionally, 7.6% of the participants stated that if a permanent tooth was avulsed, they would keep the tooth in milk. Conclusion: We concluded that students majoring in medicine had insufficient knowledge levels and attitudes regarding dental injuries leading to avulsion, and we believe this subject needs to be covered by the relevant curriculum.   How to cite this article: İpek S, Soğukpınar Önsüren A. Are student knowledge levels and attitudes about avulsion dental trauma adequate in the faculty of medicine? Int Dent Res 2021;11(Suppl.1):143-51. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.22   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.  


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Isabel Gomes

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.


2017 ◽  
Vol 11 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Zvi Gutmacher ◽  
Eli Peled ◽  
Doron Norman ◽  
Shaul Lin

Aim:Dental injuries, especially luxation and avulsion, are common. Dental trauma can cause alveolar bone fracture that can lead to tooth loss and malocclusion. Single tooth alveolar bone fractures are difficult to identify unless it protrudes through the overlying mucosa and can be visualized. Pain, malocclusion, and tooth mobility provide signs of suspected alveolar bone fractures. Integrity of the proximate alveolar bone should be examined for fractures where avulsion, luxation, or other tooth trauma is detected. Any suggestion of alveolar fractures should be further investigated with an appropriate radiograph.Summary:This case report shows a pathognomonic sign that detects and diagnosis single tooth alveolar bone fractures,i.e., a localized hematoma crossing the attached gingiva from the free gingival margin to the vestibular mucosa. This should serve as a warning for localized alveolar bone fracture.A visualized hematoma and gentle, careful palpation may help detect covered fractures when the overlying mucosa is not perforated.


2021 ◽  
pp. 15-17
Author(s):  
Niketa Sahu ◽  
Sonal Gupta

Paediatric dental patients demand special care and wider vision while treatment planning due to ongoing growth of jaw bones and existing permanent tooth buds within the bone. Tooth loss is very common even in younger age patients due to extensive tooth decay or as a result of traumatic dental injuries. Implants are in high demand to restore the lost tooth but use of implants is limited to adults or older age group. Thus auto-transplantation may be an intermediate or permanent treatment option to such cases due simple, less time consuming and cost effectiveness. Sidewise auto-transplantation maintains the bone dimensions to make it available further treatment on failure. Present review article include all the required facts about auto-transplantion.


2021 ◽  
Vol 9 (1) ◽  
pp. 6
Author(s):  
Alberto Murri dello Diago ◽  
Roberto Apponi ◽  
Vittorio Colombini ◽  
Lorenzo Mordini ◽  
Francesca Ideo

Tooth loss after traumatic dental injuries (TDI) often requires rehabilitation with a multidisciplinary treatment plan. In growing patients, the therapeutic approach may be different than in adults; the scientific literature offers alternative solutions even if they involve long, complex and uncomfortable treatments. Among the possible therapeutic options, implant-prosthetic treatment through the use of mini-implants is presented in this complex case report with a 14-year follow-up.


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