Treatment of Multiple Horizontal Root Fractures of the Maxillary Anterior: A case report

상악 전치부 다발성 수평 치근 파절의 치료: 증례보고

  • Sung, Kun-Hwa (Department of Conservative Dentistry, School of Dentistry, Chosun University) ;
  • Min, Jeong-Bum (Department of Conservative Dentistry, School of Dentistry, Chosun University) ;
  • Park, Tae-Young (Department of Conservative Dentistry, School of Dentistry, Chosun University)
  • 성건화 (조선대학교 치과대학 치과보존학교실) ;
  • 민정범 (조선대학교 치과대학 치과보존학교실) ;
  • 박태영 (조선대학교 치과대학 치과보존학교실)
  • Received : 2020.01.28
  • Accepted : 2020.04.29
  • Published : 2020.08.31

Abstract

Objectives: Management of a horizontal root fracture of an anterior teeth is challenging and often requires multiple approaches for improving the functional and esthetic outcomes. This case report describes the treatment and 2-yr follow up of 3 maxillary incisors with horizontal root fracture. Two maxillary central incisors were treated with Mineral Trioxide Aggregate (ProRoot MTA, Dentsply, Tulsa, OK, USA). Left maxillary lateral incisors were treated with endodontic treatment and submerged. During 2-yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing even after endodontic treatment.

Keywords

References

  1. Cvek M, Andreasen JO, Borum MK. Healing of 208 intraalveolar root fractures in patients aged 7-17 years. Dental traumatology 2001;17:53-62. https://doi.org/10.1034/j.1600-9657.2001.017002053.x
  2. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth: John Wiley & Sons.
  3. Hovland EJ. Horizontal root fractures. Treatment and repair. Dental Clinics of North America 1992;36:509-525.
  4. Cvek M, Mejare I, Andreasen JO. Conservative endodontic treatment of teeth fractured in the middle or apical part of the root. Dental Traumatology 2004;20:261-269. https://doi.org/10.1111/j.1600-9657.2004.00272.x
  5. Andreasen J. Intra-alveolar root fractures: radiographic and histologic study of 50 cases. J. Oral Surg. 1967;25:414-426.
  6. Heithersay GS. Combined endodontic-orthodontic treatment of transverse root fractures in the region of the alveolar crest. Oral Surgery, Oral Medicine, Oral Pathology 1973;36:404-415. https://doi.org/10.1016/0030-4220(73)90220-X
  7. Versiani MA, Sousa CJAd, Cruz-Filho AM, Perez DEdC, Sousa-Neto MD. Clinical management and subsequent healing of teeth with horizontal root fractures. Dental Traumatology 2008;24:136-139. https://doi.org/10.1111/j.1600-9657.2006.00507.x
  8. Andreasen J, Andreasen F, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dental traumatology 2004;20:203-211. https://doi.org/10.1111/j.1600-9657.2004.00278.x
  9. Andrade ES, De Campos Sobrinho ALP, Andrade MGS, Matos JLF. Root healing after horizontal fracture: a case report with a 13-year follow up. Dental Traumatology 2008;24:e1-e3. https://doi.org/10.1111/j.1600-9657.2008.00556.x
  10. DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dental Traumatology 2012;28:2-12. https://doi.org/10.1111/j.1600-9657.2011.01103.x
  11. Pace R, Giuliani V, Pini Prato L, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. International endodontic journal 2007;40:478-484. https://doi.org/10.1111/j.1365-2591.2007.01240.x
  12. Yildirim T, Gencoglu N. Use of mineral trioxide aggregate in the treatment of horizontal root fractures with a 5-year follow-up: report of a case. Journal of Endodontics 2009;35:292-295. https://doi.org/10.1016/j.joen.2008.11.004
  13. Roig M, Espona J, Mercade M, Duran-Sindreu F. Horizontal root fracture treated with MTA, a case report with a 10-year follow-up. Dental Traumatology 2011;27:460-463. https://doi.org/10.1111/j.1600-9657.2011.01018.x
  14. Oesterle LJ, Cronin Jr RJ. Adult growth, aging, and the single-tooth implant. International Journal of Oral & Maxillofacial Implants 2000;15.
  15. O'Neal RB, Gound T, Levin MP, Carlos E. Submergence of roots for alveolar bone preservation: I. Endodontically treated roots. Oral Surgery, Oral Medicine, Oral Pathology 1978;45:803-810. https://doi.org/10.1016/0030-4220(78)90158-5
  16. Masterson MP. Retention of vital submerged roots under complete dentures: report of 10 patients. Journal of Prosthetic Dentistry 1979;41:12-15. https://doi.org/10.1016/0022-3913(79)90348-2
  17. Johnson B, Jensen M. Treatment of a horizontal root fracture by vital root submergence. Dental Traumatology 1997;13:248-250. https://doi.org/10.1111/j.1600-9657.1997.tb00049.x