scholarly journals The importance of bioceramics and computed tomography in the late clinical management of a horizontal root fracture: A case report

2020 ◽  
pp. e514-e518
Author(s):  
C. Girelli ◽  
C. de Lima ◽  
M. Lacerda ◽  
R. Coellho ◽  
F. Silveira ◽  
...  
2013 ◽  
Vol 16 (4) ◽  
pp. 99
Author(s):  
Maria Rachel Monteiro ◽  
Caio Cesar Randi Ferraz ◽  
Emmanuel João Nogueira Leal Silva ◽  
José Flávio Affonso Almeida

<p><strong>Introduction: </strong>The aim of this case report is todemonstrate the retreatment of a maxillary caninediagnosed with a horizontal root fracture utilizingan electronic apex locator and monitored with conebeam computed tomography. <strong>Case Report: </strong>A 35year old African American male was referred for rootcanal retreatment of a maxillary right canine prior toprosthetic rehabilitation. Following removal of guttapercha, an apex locator was utilized to determine thelength of the root canal. After a more comprehensivedental history, the patient confirmed a previouslyunreported history of dental trauma at this time,leading to the suspicion of a horizontal root fracture.Clinical microscopy detected a connective tissue in theapical third of the root canal and multiple periapicaland occlusal radiographs enhanced visualizationof a horizontal root fracture. The coronal segmentwas filled with an MTA apical plug and the apicalsegment remained stable. A recall after 1.5 yearswas performed with CBCT, which showed no apicalradiolucency. <strong>Discussion: </strong>The present case reportreinforces the precept that detailed dental history andcareful observation of radiographs are critical factorsfor obtaining an accurate diagnosis. Fundamentaladjuncts, such as microscopy, apex locators andCBCT imaging, can potentially aid in the diagnosisand the subsequent treatment plan of horizontal rootfracture.</p><p>Keywords<br />Cone-beam computed tomography; Apex locator Cuspid; Radiography; horizontal root fracture.</p>


2013 ◽  
Vol 01 (02) ◽  
pp. 125-128
Author(s):  
Parul Bansal ◽  
Kalpana Kanyal ◽  
Vineeta Nikhil

AbstractRadicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5 - 7% of the cases. Horizontal root fractures can be managed endodontically or combined endodontic and surgical approach. Treatment varies according to the displacement and vitality of the fragments. This paper presents a case report of two cases of horizontal root fracture, present between the middle and apical third of central incisors, which were managed by combined endodontic and surgical approach, while in second case it was followed by PRF placement to facilitate osteoinduction and periodontal tissue regeneration.


2020 ◽  
Author(s):  
Fumi Mizuhashi ◽  
Ichiro Ogura ◽  
Yoshihiro Sugawara ◽  
Makoto Oohashi ◽  
Ryo Mizuhashi ◽  
...  

2015 ◽  
Vol 29 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Fernanda Cristina Sales SALINEIRO ◽  
Lucas Rodrigues PINHEIRO ◽  
Oséas dos SANTOS JÚNIOR ◽  
Marcelo Gusmão Paraiso CAVALCANTI

2014 ◽  
Vol 4 (1) ◽  
pp. 63-66
Author(s):  
Sérgio Brunini ◽  
Élio Silva Junior ◽  
Iago Trida

2016 ◽  
Vol 64 (4) ◽  
pp. 467-471
Author(s):  
Klaus Souza SANTOS ◽  
Mário Alfredo Silveira MIRANZI ◽  
Benito André Silveira MIRANZI ◽  
Sílvia França SANTOS ◽  
Almir José Silveira MIRANZI

ABSTRACT This article presents a clinical case of horizontal root fracture, in an adult patient, male, in the apical third, due to the practice of sports, which, along with other factors, has led to pulp necrosis. Initially, the patient sought emergency care, and then he underwent treatment by endodontics, using calcium hydroxide between sessions. After a monitoring period, root canal obturation was performed and the tooth is clinically and radiographically stable 2 years after the trauma. In this case, monitoring is long-lasting, divided into 12-month periods for 10 years, with clinical and radiographic evaluation. Dental fracture in children and teenagers from 10 to 14 years is very common, especially during the practice of sports and recreation activities. It is expected that young male individuals have greater propensity to damage their teeth than young female individuals. Maxillary central incisor is the tooth most commonly involved, and it often evolves to pulp necrosis after trauma.


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