Splinting of Longitudinal Fracture: An Innovative Approach

Abstract

Trauma may result in craze lines on the enamel surface, one or more fractured cusps of posterior teeth, cracked tooth syndrome, splitting of posterior teeth, and vertical fracture of root. Out of these, management of some fractures is of great challenge and such teeth are generally recommended for extraction. Literature search reveals attempts to manage such fractures by full cast crown, orthodontic wires, and so forth, in which consideration was given to extracoronal splinting only. However, due to advancement in materials and technologies, intracoronal splinting can be achieved as well. In this case report, longitudinal fractures in tooth #27, tooth #37, and tooth #46 had occurred. In #27, fracture line was running mesiodistally involving the pulpal floor resulting in a split tooth. In teeth 37 and 46, fractures of the mesiobuccal cusp and mesiolingual cusp were observed, respectively. They were restored with cast gold inlay and full cast crown, respectively. Longitudinal fracture of 27 was treated with an innovative approach using intracanal reinforced composite with Ribbond, external reinforcement with an orthodontic band, and full cast metal crown to splint the split tooth.

Bacterial Biofilm Growth on Various Dental Stabilization Systems for Avulsed and Luxated Teeth

“…It has been shown to allow for some but limited biofilm growth compared to other suture materials, especially multifilament ones [40]. Currently, new splint systems have been introduced into the market such as Rebbond [41,42], OW [43], and TTS [7,8], and while practitioners differ in their choice, the common agreement is that they should be easy to apply and remove, be esthetic, and facilitate hygiene. However, bacterial growth on these newer systems has not been properly evaluated before.…”

Manejo de una fractura corono-radicular complicada. Reporte de un caso clínico

“…El principio básico de la técnica, es movilizar la zona afectada a una posición supragingival 13 . La principal indicación es en dientes o restos radiculares con pronóstico reservado o incierto que cumplan con las características de ser monorradiculares, rectos y cónicos [1][2][3][4]9,12, . Kockich et al, 14 establece seis criterios para valorar si un diente puede tratarse con extrusión quirúrgica o de lo contrario debe extraerse.…”

“…Representan del 0.5 % al 7 % de los traumatismos dentales y se generan principalmente por caídas, accidentes de tránsito e impactos o luchas [1][2][3][4][5] . Las lesiones traumáticas se presentan mayormente en el sexo masculino a partir de los 20 años de edad, resultando los dientes centrales superiores más propensos a sufrir lesiones traumáticas (68 %) y en segundo lugar los dientes laterales superiores (27 %) [1][2][3][5][6][7] . La pérdida de tejido dental por debajo del margen de la encía y del nivel óseo, ya sea por caries profunda, fracturas traumáticas, desgaste o reabsorción radicular, dificulta la rehabilitación.…”

Occurrence of internal root resorption defects in anterior teeth with a history of concussion injury: A cross-sectional study among select adult North Indian dental patients

“…[3,4] Few cases of injury resulted from trauma to anterior teeth by sudden impact from hand pump handles have been reported from rural parts of India. [5] Increased overjet, inadequate lip coverage of the upper anterior teeth, predispose a person for these injuries. [6] Trauma to the tooth may lead to complete avulsion of the tooth, crown, or root fractures and luxation or concussion injuries, for which the patient seeks timely dental care.…”