• Title/Summary/Keyword: HORIZONTAL ROOT

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Healing after horizontal root fractures: 3 cases with 2-year follow-up

  • Choi, Yoorina;Hong, Sung-Ok;Lee, Seok-Ryun;Min, Kyung-San;Park, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.39 no.2
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    • pp.126-131
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    • 2014
  • Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). 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.

Treatment of Multiple Horizontal Root Fractures of the Maxillary Anterior: A case report (상악 전치부 다발성 수평 치근 파절의 치료: 증례보고)

  • Sung, Kun-Hwa;Min, Jeong-Bum;Park, Tae-Young
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.486-494
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    • 2020
  • 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.

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Effects of root trunk length after GTR on clinical outcomes (하악 제1대구치 치근본체의 길이가 조직유도재생술의 임상결과에 미치는 영향)

  • Pi, Sung-Hee;Shin, Hyung-Shik
    • Journal of Periodontal and Implant Science
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    • v.36 no.2
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    • pp.427-434
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    • 2006
  • The form of furcation influence both the pathogenesis of periodontal destruction and therapeutic results. The present study was performed to evaluate the effect of root trunk length on clinical outcomes of guided tissue regeneration. Total 30 mandibular first molars were evaluated in this study. Probing pocket depth, clinical attachment level, vertical defect depth and horizontal defect depth were measured at baseline and 6 month after GTR. Correlation coefficients between root trunk length and other clinical measurement were analyzed. The results of this study were as follows 1. The mean root trunk length in lower 1st molar was 2.15 mm. 2. Probing pocket depth, clinical attachment level, vertical defect depth and horizontal defect depth were significantly reduced at 6 month postoperatively compared to values of baseline 3. Correlation coefficient between root trunk length and vertical defect depth at baseline was 0.406 showing the positive correlation 4. Correlation coefficient between root trunk length and horizontal defect depth at baseline was -0.463 showing the negative correlation. 5. Correlation coefficient between root trunk length and decrease of horizontal defect depth after GTR was 0.654 showing the positive correlation. In conclusion, the root trunk length maybe effector for clinical outcome after guided tissue regeneration.

Persistent Gingival Swelling and Fistula Obscured Horizontal Root Fracture: A Case Report

  • Juyeon, Cho
    • Journal of Korean Dental Science
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    • v.15 no.2
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    • pp.147-151
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    • 2022
  • Horizontal root fracture (HRF) is a result of trauma to teeth and periodontium, which implies severe injury to cementum, dentin, and pulp. This is a rare case of HRF in the maxillary lateral incisor of a 62-year-old male who only presented persistent gingival swelling, fistula, and dull pain at first. An apical radiolucency of unknown origin turned out to be a result of hidden HRF at the coronal third level that was later visualized radiographically during endodontic treatment. The tooth was scheduled to be extracted upon the patient's agreement. The purpose of this report is to alert clinicians about the importance of diagnosing HRF through thorough clinical and radiographic examinations. Where there is persistent fistula without proper cause, HRF should be considered as a causative factor, and the diagnosis could be effective with aid of cone beam computed tomography, electronic root apex locator, as well as other clinical signs.

NO ROOT GAP HORIZONTAL BUTT-WELDING WITH MAG PROCESS

  • Woo, Wan-Chuck;Jang, Tae-Won;Lee, Jae-Won
    • Proceedings of the KWS Conference
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    • 2002.10a
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    • pp.425-429
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    • 2002
  • It has been used many kinds of horizontal butt-welding methods at block-to-block erection stage in shipbuilding companies. For examples, some companies use conventional FCA W process with one side or both sides groove joint welding, others use carriage with torch holder type mechanized welding method. Although lots of efforts were done until now, some problems in quality and productivity still remain in ship's hull welding. In this study, we have attempted to raise productivity and quality on horizontal position of welding with following 3 items. 1) Prepare groove condition with no root gap for making easy fit-up work. 2) Develop improved MAG (100% $CO_2$ gas shielding) welding process with solid wire for making sound root bead from one side. 3) Develop and apply quite new automatic welding carriage. The stability of new welding process was confirmed by conducting mechanical tests of weldments to verify the soundness of weldments.

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The radiographic depth of approximal root cavities : A comparative study of conventional and digital radiographs (인접면 치근 인공우식병소의 깊이 평가: 구내 일반 방사선사진과 디지털 방사선사진과의 비교)

  • Park Hyun-Jung;Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.33 no.1
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    • pp.15-20
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    • 2003
  • Purpose : To investigate the reproducibility of the conventional and digital radiographs to determine the depth of approximal root cavities. Materials and Methods : A total of 80 artificial root cavities were prepared in the approximal surfaces of premolars, maxillary and mandibular molars. Standardized radiographs were taken at the baseline (0° horizontal and 0° vertical) and at a horizontal angulation of 10° in both mesial and distal directions. Radiographic cavity depths were measured by both conventional and digital radiographs. Results: At 0° horizontal angulation, no statistically significant differences could be determined between the results of conventionally and digitally determined radiographic depths with respect to the actual cavity depths in all premolar, maxillary, and mandibular molar groups. All conventional and digital radiographic depths at both 10° mesial and distal angulations showed statistically significant increases in depth compared to the actual cavity depths (p < 0.05), with the exception of digital radiographic depth at 10° mesial angulation for premolars. There were no statistically significant differences between conventional and digital radiographic depths for all groups. Conclusion: The present study suggests that both conventional and digital radiographs provide reproducible assessment of the depth of the approximal root cavity. But horizontal X-ray beam movements are likely to result in increase in radiographic cavity depth.

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No Root Cap Horizontal Butt-welding with MAG Process

  • Jang, T.W.;Cho, S.H.;Park, C.G.;Lee, J.W.;Woo, W.C.
    • International Journal of Korean Welding Society
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    • v.3 no.1
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    • pp.34-38
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    • 2003
  • It has been used many kinds of horizontal butt-welding methods at block-to-block erection stage in shipbuilding companies. For examples, some companies use conventional FCAW process with one side or both sides groove joint welding, others use carriage with torch holder type mechanized welding method. Although lots of efforts were done until now, some problems in quality and productivity still remain in ship's hull welding. In this study, we have attempted to raise productivity and quality on horizontal position of welding with following 3 items. 1) Prepare groove condition with no root gap for making easy fit-up work. 2) Develop improved MAG (100% $CO_2$ gas shielding) welding process with solid wire for making sound root bead from one side. 3) Develop and apply quite new automatic welding carriage. The stability of new welding process was confirmed by conducting mechanical tests of weldments to verify the soundness of weldments.

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

  • Shin, Joo-Hee;Kim, Ryan Jin-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.3
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    • pp.180-184
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    • 2012
  • 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.

Pulp revascularization with and without platelet-rich plasma in two anterior teeth with horizontal radicular fractures: a case report

  • Arango-Gomez, Edison;Nino-Barrera, Javier Laureano;Nino, Gustavo;Jordan, Freddy;Sossa-Rojas, Henry
    • Restorative Dentistry and Endodontics
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    • v.44 no.4
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    • pp.35.1-35.10
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    • 2019
  • Pulp revascularization is an alternative treatment in immature traumatized teeth with necrotic pulp. However, this procedure has not been reported in horizontal root fractures. This is a case report of a 9-year-old patient with multiple horizontal root fractures in 2 upper central incisors that were successfully treated with pulp revascularization. The patient presented for treatment 2 years after the initial trauma, and revascularization was attempted after the initial treatment with calcium hydroxide had failed. Prior to pulp revascularization, cone-beam computed tomography and autoradiograms demonstrated multiple horizontal fractures in the middle and apical thirds of the roots of the 2 affected teeth. Revascularization was performed in both teeth; platelet-rich plasma (PRP) was used in one tooth (#11) and the conventional method (blood clot) was used in the other tooth (#21). Clinical and radiographic follow-up over 4 years demonstrated pulp calcification in the PRP-treated tooth. Neither of the 2 teeth were lost, and the root canal calcification of tooth #11 was greater than that of tooth #21. This case suggests that PRP-based pulp revascularization may be an alternative for horizontal root fractures.

Inhibitory Factors of Robinia pseudoacacia Distribution in a Pinus thunbergii Forest at the Coast (해안 곰솔림 내 아까시나무의 분포확대 억제요인)

  • Jung, Sung-Cheol;Koo, Kyo-Sang;Kim, Kyong-Ha
    • Korean Journal of Environment and Ecology
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    • v.25 no.5
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    • pp.717-724
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    • 2011
  • The objectives of this study were to analyze environment in the forest and growth characteristics for investigating the characteristics of Robinia pseudoacacia distribution in a Pinus thunbergii forest at the coast. As a result of analyzing inhibitory factors of Robinia pseudoacacia distribution in a Pinus thunbergii forest at the coast, it is considered that the salt level included in a sea wind is supposed to be the primary factor of the slow growth for Robinia pseudoacacia since brown leaves, wilting and early leaf fall have appeared in the 0m spot from the artificial dune which has the high salt level. However, the soil properties and light environment hardly have a effect on the growth of Robinia pseudoacacia because there is no difference among planting places. Also, the growth ring of the horizontal root in 2year individuals 0.1~0.2m away from the dune have been formed for 1 year only as a consequence of analyzing growth rings of Robinia pseudoacacia growing on the coast. It can be infered that the nourishment of the horizontal root from individuals growing on the coast have been provided for the first 1 year only. It is estimated that, in case of the nearby areas on the coast, it is not enough to provided nourishment to the horizontal root due to obstructing the growth of new individuals by a sea wind, so the growth of the horizontal root would be hampered. Therefore, it is considered that impedient Robinia pseudoacacia distribution in a Pinus thunbergii forest at the coast is caused by making no growth of new horizontal roots and newborn individuals.