Multidisciplinary Approach in The Management of Cervical Rootfracture: A Case Report.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 1
Abstract
Traumatic injuries to the teeth can occur at any age. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols to ensure reliable strength, durability and aesthetics.Cervical root fractures pose a true therapeutic dilemma to the dental team.In such cases, the prognosis is less favorable because of difficulty in immobilizing the tooth. Repair doesnot occur due to constant movement of the tooth and exposure of the pulp to the oral environment.Clinically, the displacement of the coronal fracture segment is minimal as fractured segments are held together by the underlying periodontal ligament and the remaining radicular segment of the tooth might be partly below the level of the gingiva.Attempts to expose the fracture line by alveolar re-contouring and periodontal procedures may compromise the functional root length and esthetics. Forced orthodontic extrusion is considered as a good treatment option to expose the fracture line, which can produce excellent results. This was first advocated by Heithersay in 1973. The procedure is slow and cumbersome and is indicated in cases where the crown-root ratio would not be compromised after the extrusion.The fragment reattachment is a very conservative treatment which can be considered once fracture line is exposed. It allows the restoration of the original dental anatomy thus rehabilitating function and aesthetics by preserving dental tissues. This case report describes a multidisciplinary approach in management of asubgingivally fractured permanent maxillary lateral incisorunder local anesthesia; the fractured part was carefully separated. After completion of root canal treatment, the root segment was orthodontically extruded and the coronal fragment was successfully reattached with an adhesive tooth reattachment technique.
Authors and Affiliations
Ratheesh Rajendran
Keywords
Related Articles
- EP ID EP580465
- DOI -
- Views 43
- Downloads 0
Comparison of Microleakage under Orthodontic Brackets with Transbond XT and Resin Modified Glass Ionomer Cement.
Introduction:Most common problem associated with bonding of Orthodontic attachment to hypo/demineralized teeth is excessive microleakage with subsequent formation of White Spot Lesions (WSL). Hence, aim of the present st...
Waterlase : An Innovative Technology in Periodontics.
Laser is an acronym for “light amplification by stimulated emission of radiation”. Introduced in dentistry as they are precise and effective way to perform many dental procedures. Treatment with lasers provides a hope of...
Endodontic treatment and Aesthetic management of dental anomalies using direct composite.
The most common dental oddities seen in dental practice are fusion and gemination. It has always been an enigma for the dentists to differentiate between the two. Fusion is defined when the buds of two teeth fuse to make...
Outcomes of Transdermal Nicotine Patches Aiding Smoking Cessation among Schizophrenia Patients- A Systematic Review and Meta-Analysis.
Background: Prevalence of smoking among schizophrenia patients is very high in the rate of 58%-88%. Previous literature evidence have stated that effect of transdermal nicotine patches and usage of NRT in conjugation...
Comparative evaluation of serum CA 125 in oral submucous fibrosis, oral squamous cell carcinoma and healthy controls: A chemiluminescence immunoassay study.
Cancer Antigen 125 (CA 125) is also known as mucin 16 or MUC16. It is a glycoprotein present on the surface of normal cells. It appears to be involved in various biological processes including epithelial mesenchymal tran...