Root fracture of maxillary central incisors: case report

상악 중절치 치근 파절

  • Baek, Kyung-Won (Department of Dentistry, School of Medicine, Jeju National University) ;
  • Kim, Sung-Joon (Department of Dentistry, School of Medicine, Jeju National University)
  • 백경원 (제주대학교 의학전문대학원 치과학교실) ;
  • 김성준 (제주대학교 의학전문대학원 치과학교실)
  • Received : 2010.08.13
  • Accepted : 2010.10.15
  • Published : 2010.10.01

Abstract

Horizontal root fractures are defined as those that involve cementum, dentin and pulp, comprising from 0.5 to 7% of injuries in permanent dentition on dental trauma. Diagnosis is made through clinical findings and radiographic exams, the latter frequently being limited by the position of the fracture line. Treatment varies according to the displacement of crown portion and vitality of the fragments. Authors describe clinical cases of maxillary right central incisor with horizontal root fractures in dental clinic, Jeju National University Hospital.

Keywords

References

  1. Jarvinen S. Incisal overjet and traumatic injuries to upper permanent incisors: A retrospective study. Acta Odontol Scand 1978;36:359-62. https://doi.org/10.3109/00016357809029088
  2. Jarvinen S. Fractured and avulsed permanent incisors in Finnish children: A retrospective study. Acta Odontol Scand 1979;37:47-50. https://doi.org/10.3109/00016357909004684
  3. York AH, Hunter RM, Morton JG, Wells GM, Newton BJ. Dental injuries in 11- to 13-year-old children. N Z Dent J 1978;74:218-20.
  4. Andreasen JO, Andreasen FM. Textbook and colour atlas of traumatic injuries to the teeth. 10th ed. Copenhagen, Munksgaard;1994:173-314.
  5. Birch R, Rock WP. The incidence of complications following root fracture in permanent anterior teeth. Br Dent J 1986;160:119-22. https://doi.org/10.1038/sj.bdj.4805786
  6. Andreasen FM. Pulpal healing after tooth luxation and root fractures in the permanent dentition, Thesis, Denmark, 1995, University of Copenhagen.
  7. Andreasen JO, Hjorting-Hansen E. Intra-alveolar root fractures. radiographic and histologic study of 50 cases. J oral surg 1967;25:414-419.
  8. Jacobsen I, Zachrisson BU. Repair characteristics of root fractures in permanent anterior teeth. Scand J Dent Res 1975;83:355-64.
  9. Stalhane I, Hedegard B. Traumatized permanent teeth in children aged 7-15 years. Sven Tandlak Tidskr 1975;68:157-69.
  10. Rabie G, Barnett F, Tronstad L. Long-term splinting of maxillary incisor with intra-alveolar root fracture. Endod Dent Traumatol 1988;4:99-103. https://doi.org/10.1111/j.1600-9657.1988.tb00304.x
  11. Jacobsen I. Root fractures in permanent anterior teeth with incomplete root formation. Scand J Dent Res 1976;84:210-7.
  12. Sanaa Chala, Majid Sakout, Faiza Abdallaoui. Repair of untreated horizontal root fractures: two case reports. Dent Traumatol 2009;25:457-459. https://doi.org/10.1111/j.1600-9657.2009.00774.x
  13. Andreasen FM, Andreasen JO, Bayer T. Prognosis of root-fractured permanent incisors-prediction of healing modalities. Endod Dent Traumatol 1989;5:11-22. https://doi.org/10.1111/j.1600-9657.1989.tb00331.x
  14. Tziafas D, Margelos I. Repair of untreated root fracture: a case report. Endod Dent Traumatol. 1993;9:40-3. https://doi.org/10.1111/j.1600-9657.1993.tb00459.x
  15. Blackwood HJ. Tissue repair in intra-alveolar root fractures. Oral Surg Oral Med Oral Pathol. 1959;12:360-70. https://doi.org/10.1016/0030-4220(59)90192-6
  16. Jacobsen I, Kerekes K. Diagnosis and treatment of pulp necrosis in permanent anterior teeth with root fracture. Scand J Dent Res. 1980;88:370-6.
  17. Andreasen FM, Andreasen JO. Resorption and mineralization processes following root fracture of permanent incisors. Endod Dent Traumatol 1988;4:202-14. https://doi.org/10.1111/j.1600-9657.1988.tb00323.x
  18. Herweijer JA, Torabinejad M, Bakland LK. Healing of horizontal root fractures. J Endod. 1992;18:118-22. https://doi.org/10.1016/S0099-2399(06)81311-7
  19. Jin H, Thomas HF, Chen J. Wound healing and revascularization: a histologic observation of experimental tooth root fracture. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:26-30. https://doi.org/10.1016/S1079-2104(96)80142-9
  20. Feely L, Mackie IC, Macfarlane T. An investigation of root-fractured permanent incisor teeth in children. Dent Traumatol. 2003;19:52-4. https://doi.org/10.1034/j.1600-9657.2003.00119.x
  21. Kursat Er, Davut Celik, Tamer Tasdemir, Tahsin Yildirim. Treatment of horizontal root fractures using a triple antibiotic paste and mineral trioxide aggregate: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:e63-e66.
  22. Sheikh-Nezami, Mokhber, Shamsian, Saket. Management of a midroot and complicated crown fracture: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e65-67.