Document Detail

Management of untreated traumatized permanent incisors with crown and root fractures: a case report.
MedLine Citation:
PMID:  19639089     Owner:  NLM     Status:  MEDLINE    
Dental trauma can lead to a wide range of injuries of which crown and root fractures are examples. This report describes the management of previously untreated crown- and root-fractured maxillary permanent incisors in an 18-year-old patient. The patient underwent no treatment for 8 years and then presented with the complaint of recurrent pain and swelling. Intraoral examination showed crown fractures in the maxillary right central and left lateral incisors, while radiographic examination revealed large radiolucent lesions related to the periapical area of these teeth and a horizontal root fracture in the middle third of the maxillary left central incisor. Endodontic therapy and periapical surgery were performed for the persistent periapical periodontitis associated with the crown-fractured teeth. Connective tissue healing was detected for the root-fractured tooth. However, because of its proximity to periapical lesions, this root-fractured tooth was also included in the periapical surgery. Follow-up 1 year later showed clinical and radiographic healing.
Kaan Orhan; Ayse Isil Orhan; Firdeys Tulga Oz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Quintessence international (Berlin, Germany : 1985)     Volume:  40     ISSN:  1936-7163     ISO Abbreviation:  Quintessence Int     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-07-29     Completed Date:  2009-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0342677     Medline TA:  Quintessence Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  647-54     Citation Subset:  D    
Department of Oral Diagnosis and Radiology, Ankara University, Faculty of Dentistry, Besevler, Ankara, Turkey.
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MeSH Terms
Bone Substitutes / therapeutic use
Delayed Diagnosis
Dental Fistula / etiology,  radiography,  surgery*
Dental Restoration, Permanent
Incisor / injuries*
Minerals / therapeutic use
Periapical Periodontitis / etiology,  radiography,  surgery*
Periodontal Splints
Retrograde Obturation*
Tooth Crown / injuries
Tooth Fractures / complications,  radiography,  surgery*
Tooth Mobility / etiology,  therapy
Tooth Root / injuries
Reg. No./Substance:
0/Bio-Oss; 0/Bone Substitutes; 0/Minerals

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