Delayed Repositioning in Teeth with Horizontal Root Fracture: Two Case Reports
Publish place: Journal of Dental Materials and Techniques، Vol: 6، Issue: 4
Publish Year: 1396
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_JDMT-6-4_008
تاریخ نمایه سازی: 18 تیر 1398
Abstract:
Introduction: Horizontal root fracture (HRF) generally has a good prognosis of healing at fracture line after repositioning and flexible splinting. However, various factors such as delayed referral may unfavorably influence close reduction of firmly displaced coronal fragments and the long-term prognosis of healing at fracture line. Case 1: A 25-year-old woman with HRF in her maxillary central incisors was referred 1 week after trauma. Repositioning of the displaced coronal fragment was not successful for the left central incisor. Despite questionable prognosis for this case, reduction and flexible splinting was performed after removing it’s coronal fragment, minor curettage in alveolar socket and immediate replanting. Calcium hydroxide dressing and MTA plug placement for the coronal fragment were carried out after 1 and 3 weeks, respectively. The crown was restored and a minor permanent splint was applied after splint removal. Case 2: The above protocol was applied for a 17-year-old boy with HRF in his left maxillary central incisor. He referred 3 weeks after trauma with a firmed displaced coronal fragment. At four-year follow-up in both patients, the teeth were clinically in function and the patients were asymptomatic. The periapical radiographs revealed complete healing at fracture lines.
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Authors
Mahshid Sheikhnezami
Dental Trauma Clinic, Iranian Academic Center for Education, Culture, and Research (ACECR), Mashhad, Iran
Nima Mokhber
Dental Trauma Clinic, Iranian Academic Center for Education, Culture, and Research (ACECR), Mashhad, Iran
Khosro Shamsian
Dental Trauma Clinic, Iranian Academic Center for Education, Culture, and Research (ACECR), Mashhad, Iran
Salman Saket
۱Dental Trauma Clinic, Iranian Academic Center for Education, Culture, and Research (ACECR), Mashhad, Iran ۲ Ferdowsi University of Mashhad, Mashhad, Iran
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