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Treatment of horizontal root-fractured maxillary incisors

Oral Biology Research 2019³â 43±Ç 3È£ p.236 ~ 242
ÃÖ¼ºÇö, À±ÁöÇý, À̺ó³ª, ÀåÈÆ»ó, ȲÀγ², ¿À¿ø¸¸, ȲÀ±Âù,
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ÃÖ¼ºÇö ( Choi Sung-Hyeon ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
À±ÁöÇý ( Yoon Ji-Hye ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
À̺󳪠( Lee Bin-Na ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
ÀåÈÆ»ó ( Chang Hoon-Sang ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
ȲÀγ² ( Hwang In-Nam ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
¿À¿ø¸¸ ( Oh Won-Mann ) - Chonnam National University School of Dentistry Department of Conservative Dentistry
ȲÀ±Âù ( Hwang Yun-Chan ) - Chonnam National University School of Dentistry Department of Conservative Dentistry

Abstract


Root fractures are defined as fractures that involve the dentin, cementum, and pulp, resulting in stretching or laceration of the pulp and/or periodontal ligament injury (rupture or compression). Two cases of horizontal root-fractured maxillary incisors are introduced in the present report. The first case is a middle third root-fractured maxillary incisor with root canal therapy in the coronal fragment, and the second case is a cervical third root-fractured maxillary incisor without root canal therapy. Both cases showed favorable results with a long-term follow-up period. In all traumatic injuries, early diagnosis and appropriate intervention dramatically enhance the outcome. The primary purpose of the treatment of root-fractured teeth is to maintain the vitality of the teeth. After an adequate observation period, if vitality control reveals non-vital pulp tissue, or if the patient complains of pain or discomfort in the tooth, endodontic therapy can be performed, usually to the coronal segment only.

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Emergency; Injury; Root canal therapy; Tooth fracture; Trauma

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