DOI QR코드

DOI QR Code

Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin

  • Shin, Joo-Hee (Department of Conservative Dentistry, Korea University Guro Hospital) ;
  • Kim, Ryan Jin-Young (Department of Conservative Dentistry, Seoul National University Dental Hospital)
  • 투고 : 2012.04.10
  • 심사 : 2012.06.12
  • 발행 : 2012.08.31

초록

Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

키워드

참고문헌

  1. Andreasen FM, Andreasen JO. Root fractures. In: Andreasen JO, Andreasen FM, editors. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1994. p279-314.
  2. Calişkan MK, Pehlivan Y. Prognosis of root-fractured permanent incisors. Endod Dent Traumatol 1996;12:129-136
  3. Andreasen FM, Andreasen JO, Bayer T. Prognosis of root-fractured permanent incisors-prediction of healing modalities. Endod Dent Traumatol 1989;5:11-22.
  4. Welbury R, Kinirons MJ, Day P, Humphreys K, Gregg TA. Outcomes for root-fractured permanent incisors: a retrospective study. Pediatr Dent 2002;24:98-102.
  5. Cvek M, Mejare I, Andreasen JO. Healing and prognosis of teeth with intra-alveolar fractures involving the cervical part of the root. Dent Traumatol 2002;18:57-65
  6. Rintaro T, Kiyotaka M, Minoru K. Conservative treatment for root fracture located very close to gingiva. Dent Traumatol 2005;21:111-114.
  7. Andreasen JO, Bakland LK, Flores MT, Andreasen FM, Andersson L. Epidemiology of traumatic dental injuries. Traumatic dental injuries - a manual. 2nd ed. Oxford: Blackwell Munksgaard; 2003. p10-15.
  8. Andreasen JO, Hjorting-Hansen E. Intraalveolar root fracture: radiographic and histologic study of 50 cases. J Oral Surg 1967;25:414-426.
  9. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of preinjury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol 2004;20:192-202
  10. Wakefield CW, Kofford KR. Advances in restorative materials. Dent Clin North Am 2001;45:7-29.

피인용 문헌

  1. Healing after horizontal root fractures: 3 cases with 2-year follow-up vol.39, pp.2, 2014, https://doi.org/10.5395/rde.2014.39.2.126