Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin
신주희, 김진용,
소속 상세정보
신주희 ( Shin Joo-Hee ) - Korea University Guro Hospital Department of Conservative Dentistry
김진용 ( Kim Jin-Young ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
KMID : 0362320120370030180
Abstract
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
Canine guided occlusion; Root fracture; Spontaneous healing
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