Horizontal root fracture--an unusual complication

Kothari, Pritesh; Murphy, M; Thompson, Jeffrey Y.

doi:10.1038/sj.bdj.4808451

Cited by 11 publications

(10 citation statements)

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“…However, healing of root fractures without treatment is also presented in many reports [12,13,15]. In traumatic injuries, follow-up is of critical importance [16]. As illustrated in our cases, after 4 years fragments steadily healed and pulp is still vital without complications by using orthodontic wire.…”

Section: Discussionmentioning

confidence: 60%

Treatment of horizontal root fracture: a case report

Cantore

Ballini

Crincoli

et al. 2009

Cases J

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Radicular fractures in permanent teeth are uncommon injuries among dental traumas, being only 0.5-7% of the cases. Traumatic dental injuries occur more frequently in young patients, and vary in severity from enamel fractures to avulsions.The magnitude of these problems is confirmed by statistical data on the prevalence of dental trauma during childhood and adolescence.Fracture occurs often in the middle-third of the root and rarely at the apical-third. The present paper reports a clinical case of a horizontal radicular fracture located between the middle- and apical-third of a upper left-central incisors followed-up over 4 years.

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Section: Discussionmentioning

confidence: 60%

Treatment of horizontal root fracture: a case report

Cantore

Ballini

Crincoli

et al. 2009

Cases J

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“…Long‐term follow‐up of patients with traumatic dental injuries is quite important as pathological changes can occur several years following the accident (22). The follow‐up period for this case was not quite long; however, if the primary purpose of the treatment of the fractured teeth is to maintain the vitality of the teeth, the present case demonstrated the positive outcome in 50 weeks following the trauma.…”

Section: Discussionmentioning

confidence: 99%

Treatment of horizontal root‐fractured maxillary incisors – a case report

Polat-Özsoy¹,

Gülşahı

Veziroglu

2008

Dental Traumatology

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Traumatic dental injuries often occur to the teeth and their supporting tissues and they are the main reasons for emergency visit to a dental clinic. Management of a fracture depends on its position and the extent of root involvement. Horizontal root fractures are not seen frequently and the treatment consists of reduction and long-term rigid fixation of the coronal segment. The present case demonstrates the successful management of two horizontally fractured maxillary central incisors with a follow-up period of 9 months.

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“…Complications include pulp necrosis, pulp obliteration, internal or external root absorption and loss of marginal bone support pulp (17, 39, 45, 46). Such complication may require extraction or root canal treatment (37, 39, 46–49).…”

Section: Discussionmentioning

confidence: 99%

Laser Doppler flow investigation of fractured permanent maxillary incisors

Strobl

Emshoff

Bertram

et al. 2004

J of Oral Rehabilitation

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Laser Doppler flowmetry (LDF) is a noninvasive method to assess pulpal blood-flow (PBF). Dental injury has been associated with losses of pulpal sensibility. The purpose of this study was to assess the outcome of splint therapy on tooth fracture type-related PBF values. In 15 trauma patients, a single maxillary incisor treated by repositioning and splinting was investigated by LDF to assess local PBF values. Perfusion units were taken in four sessions, on the day of splint removel, and 12, 24 and 36 weeks after splint removal. Analysis of the tooth fracture type-related PBF measurements revealed root fractures to be associated with a significant decrease (P < 0AE05) and uncomplicated crown fractures to be associated with a significant increase in PBF values (P < 0AE05), while complicated crown fractures showed no significant difference between the session-related values (P > 0AE05). The main findings of this study suggest splint therapy of root fractures of the central maxillary incisor to be associated with a short-and long-term decrease in PBF values. The LDF may become useful in the detection of transient ischaemic episodes and the identification of teeth at risk for adverse sequelae such as avascular necrosis and tissue loss.

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Horizontal root fracture--an unusual complication

Abstract: Cystic change at the site of a root fracture is an unusual sequelae. A case report of such an occurrence in a horizontal root fracture involving the apical third of a permanent central incisor in a 22-year-old man is presented and management of these injuries is discussed in brief.

Cited by 11 publications

References 0 publications

Treatment of horizontal root fracture: a case report

Treatment of horizontal root fracture: a case report

Treatment of horizontal root‐fractured maxillary incisors – a case report

Laser Doppler flow investigation of fractured permanent maxillary incisors

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