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

Restorative Dentistry & Endodontics 2014³â 39±Ç 2È£ p.126 ~ 131
ÃÖÀ¯¸®³ª, È«¼º¿Á, À̼®·Ã, ¹Î°æ»ê, ¹Ú¼öÁ¤,
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ÃÖÀ¯¸®³ª ( Choi Yoorina ) - Wonkwang University School of Dentistry Department of Conservative Dentistry
È«¼º¿Á ( Hong Sung-Ok ) - Wonkwang University School of Dentistry Department of Conservative Dentistry
À̼®·Ã ( Lee Seok-Ryun ) - Wonkwang University School of Dentistry Department of Conservative Dentistry
¹Î°æ»ê ( Min Kyung-San ) - Chonbuk National University School of Dentistry Department of Conservative Dentistry
¹Ú¼öÁ¤ ( Park Su-Jung ) - Wonkwang University School of Dentistry Department of Conservative Dentistry

Abstract


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.

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Diastasis; Mineral trioxide aggregate; Tooth fracture

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