Management of cervical root fracture injury in a patient with epilepsy: Case report with 5‐year follow‐up

Abstract

The difficulty in providing stability to the coronal segment makes cervical root fracture one of the most challenging dental traumatic injury. This type of injury is less frequent in children. However, due to their serious consequences and poor prognosis, tooth loss may occur. This report presents the management of a case of cervical root fracture in an 11-year-old patient with epilepsy. The stabilization of the root-fractured tooth with a splint failed due to the recurrent seizures the patient had. Coronal fragment was removed and vital root submergence was performed in order to support the alveolar growth. The natural tooth crown was incorporated into a modified Nance appliance to meet the esthetic and functional requirements of the patient. After 5-year follow-up, this treatment approach has seemed to offer a long-term provisional and satisfactory solution to the consequences of a cervical root fracture injury.

Sociodemographic factors associated with the level of knowledge about management of epileptic patients in Peruvian dental students: a cross-sectional study under a multivariable analysis

“…The associated factors considered in the present study were the following variables: gender (X1), age (X2), academic year of study (X3), marital status (X4), place of origin (X5) and area of residence (X6) [ 11 , 33 ].…”

“…Epilepsy could indirectly affect people' oral health because the use of drugs to prevent this crisis could cause gingival hyperplasia and other alterations of the oral mucosa. In addition, dental fractures and/or soft tissue trauma are among the possible oral health consequences of epileptic seizures [ 11 – 13 ]. For this reason, some studies have reported that patients with epilepsy tend to have a poor oral health status compared to those without this condition [ 14 , 15 ].…”

Factores sociodemográficos asociados al nivel de conocimiento sobre el manejo estomatológico de pacientes con epilepsia, en estudiantes odontólogos de una universidad privada

“…4,6,8 La epilepsia podría afectar indirectamente la salud bucal de las personas, debido a que el uso de medicamentos utilizados para prevenir esta crisis podría provocar hiperplasia gingival y otras alteraciones de la mucosa oral; además, dentro de las posibles consecuencias a la salud oral a causa de un cuadro epiléptico, son las fracturas dentales y/o traumatismos de los tejidos blandos que se podrían dar durante las convulsiones propias de esta enfermedad. [9][10][11] Por esta razón, algunos estudios han reportado que los pacientes con epilepsia tienden a presentar un estado de salud bucal deficiente, en comparación con aquella población que no presenta dicha patología. 12,13 Dentro de las características asociadas a pacientes epilépticos son la pérdida de piezas dentales, fracturas dentales, alto índice de caries dental y enfermedad periodontal.…”