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Clinical management of mid-root fracture in maxillary central incisors: case reports.
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MedLine Citation:
PMID:  21404971     Owner:  NLM     Status:  MEDLINE    
Management of mid-root fractures presents a formidable challenge for clinicians because of the difficulty of achieving a stable reunion of fracture fragments. This article presents two varied treatment options for mid-root fractures. A 15-year-old female reported an impact injury to the maxillary anterior teeth 2 days after its occurrence. Clinically, the maxillary left central incisor was palatally-extruded with a negative vitality response and radiographic evidence of an oblique fracture at the middle third of the root. An endodontic implant was employed which utilized an open technique and has been on follow-up for ten months. A 32-year-old male reported an injury, which resulted in a mobile maxillary right central incisor, three months after its occurrence. Through clinical and radiographic means, a discolored, extruded, and non-vital maxillary right central incisor with an oblique root fracture at the alveolar-crest level was observed. Exploratory surgery was performed; an apical barrier was created with a mineral trioxide aggregate and obturated with gutta percha. The fragments were stabilized with a fiber post and patient has been on follow-up for five months. Short-term follow-up for both of the cases showed promising results both clinically and radiographically.
Deepak J Parekh; Ramarao Sathyanarayanan; Mangala Tiptur Manjunath
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of oral science     Volume:  2     ISSN:  1674-2818     ISO Abbreviation:  Int J Oral Sci     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-03-16     Completed Date:  2011-04-04     Revised Date:  2012-10-16    
Medline Journal Info:
Nlm Unique ID:  101504351     Medline TA:  Int J Oral Sci     Country:  China    
Other Details:
Languages:  eng     Pagination:  215-21     Citation Subset:  D; IM    
Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere-4, Karnataka, India.
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MeSH Terms
Bone Screws
Dental Implantation, Endosseous, Endodontic*
Incisor / injuries*
Post and Core Technique*
Root Canal Therapy / methods*
Tooth Fractures / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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Journal Information
Journal ID (nlm-ta): Int J Oral Sci
Journal ID (iso-abbrev): Int J Oral Sci
ISSN: 1674-2818
ISSN: 2049-3169
Publisher: Nature Publishing Group
Article Information
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Copyright © 2010 West China School of Stomatology
Received Day: 03 Month: 02 Year: 2010
Revision Received Day: 22 Month: 06 Year: 2010
Accepted Day: 22 Month: 06 Year: 2010
Print publication date: Month: 12 Year: 2010
pmc-release publication date: Day: 1 Month: 12 Year: 2010
Volume: 2 Issue: 4
First Page: 215 Last Page: 221
ID: 3470102
Publisher Item Identifier: ijos201028
DOI: 10.4248/IJOS10067
PubMed Id: 21404971

Clinical Management of Mid-Root Fracture in Maxillary Central Incisors: Case Reports
Deepak J Parekh1*
Ramarao Sathyanarayanan1
Mangala Tiptur Manjunath1
1Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere-4, Karnataka, India
*1-6-237, Subhash road, Secunderabad, 500003, Andhra Pradesh, India E-mail:

Article Categories:
  • Case Report

Keywords: endodontic implant, fiber post, maxillary central incisor, root fracture, titanium min screw.

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