A clinical case of treatment of a tooth root fracture (4 years follow-up)
https://doi.org/10.36377/1726-7242-2022-20-2-148-155
Abstract
This paper presents a clinical case of dental treatment in children with transverse fracture of incisor roots on the upper jaw. This clinical case demonstrates the successful long-term results of therapeutic treatment in which the pulp viability was preserved, which is confirmed by clinical and radiological examinations. If the diagnostic phase is properly performed and the teeth are immobilized in time, there is a high probability of a favorable long-term prognosis and outcome of the therapeutic treatment. Since the obliteration of the root canal system, after trauma in children, occurs mainly in teeth with unformed roots, is a sign of the preservation of a viable tooth pulp. The clinical and X-ray examination data obtained by us indicates a favorable prognosis of therapeutic treatment for transverse fracture of the roots of teeth in children.
About the Authors
S. N. Gromova
Kirov State Medical University
Russian Federation
Competing Interests:
Russian Federation
PhD, professor, chief of the Department of Dentistry, Dean of the Faculty of Dentistry
112 Kirov, K. Marks St., 610998
Competing Interests:
The authors declare no conflict of interests.
O. A. Pyshkina
Kirov State Medical University
Russian Federation
Competing Interests:
Russian Federation
PhD, professor of the Department of Dentistry Federal
112 Kirov, K. Marks St., 610998
Competing Interests:
The authors declare no conflict of interests.
O. A. Maltseva
Kirov State Medical University
Russian Federation
Competing Interests:
Russian Federation
PhD, professor of the Department of Dentistry
112 Kirov, K. Marks St., 610998
Competing Interests:
The authors declare no conflict of interests.
A. A. Raskov
Kirov State Medical University
Russian Federation
Competing Interests:
Russian Federation
Assistant of Dentistry Department
112 Kirov, K. Marks St., 610998
Competing Interests:
The authors declare no conflict of interests.
A. K. Koledaeva
Kirov State Medical University
Russian Federation
Competing Interests:
Russian Federation
4-year student of the Dentistry Department
112 Kirov, K. Marks St., 610998
Competing Interests:
The authors declare no conflict of interests.
References
1. Kozlovskaya LV, Mikhnovec MYu A transversal root fracture in children: a successful treatment experience, long-term results. Sovremennaya stomatologiya. 2014. №1(58):46-50. (In Russ).
2. Kozlovskaya LV, Mel'nikova EI. Experience in the treatment of transverse fractures of the tooth root in children. Sovremennaya stomatologiya. 2009. №2.:30–33 (In Russ).
3. Gromova SN, Pyshkina OA, Agalakova TB, Kaysina TN, Kolevatykh EP, Raskov AA. Conservative treatment of pulpitis. Medical Newsletter of Vyatka. 2021; 69(1): 47-52. Doi: 10.24411/2220-7880-2021-10150
4. Fomenko IV, Maslak EE, Timoshenko AN, Kasatkina AL. Acute dental trauma in children (a retrospective). Volgograd Journal of Medical Research. 2015; 45(1):55-57. (In Russ.)
5. Korolenkova MV, Rakhmanova MS. Pulp revascularization for the management of avulsed incisors with immature roots and pulp necrosis Stomatologiya. 2018;97(4):49-54. (In Russ). https://doi.org/10.17116/stomat20189704149
6. Ahn SY, Kim D, Park SH. Long-term prognosis of pulpal status of traumatized teeth exhibiting contradictory results between pulp sensibility test and ultrasound doppler flowmetry: a retrospective study. J Endod. 2018;44(3):395-404. https://doi.org/10.1016/j.joen.2017.12.001
7. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, et al. Guidelines for the management of traumatic dental injuries: 2. Avulsion of Permanent Teeth. Pediatr Dent. 2017;39(6):412-419. https://doi.org/10.1111/j.1600-9657.2012.01125.x
8. Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, et al. Guidelines for the management of traumatic dental injuries: 1. Fractures and Luxations of Permanent Teeth. Pediatr Dent. 2017;39(6):401-411. https://doi.org/10.1111/j.1600-9657.2011.01103.x
9. Dascălu IT, Manolea HO, Coleş E, Dăguci C, Bătăiosu M, Andrei CM, Ţuculină MJ, Diaconu OA, Dăguci L. The prevalence of crown injuries to frontal teeth at schoolchildren aged 6 to 14 and their effects on the periodontal tissue. // Rom J Morphol Embryol. 2016;57(2 suppl):729-735.
10. Liao Q, Ye W, Yue J, Zhao X, Zhang L, Zhang L, Huang D, Zheng Q. Selfrepaired process of a traumatized maxillary central incisor with pulp infarct after horizontal root fracture monitored by laser doppler flowmetrycombined with tissue oxygen monitor. J Endod. 2017;43(7):1218-1222. https://doi.org/10.1016/j.joen.2017.03.001
11. Gromova SN, Murtuzaeva AE, Odegov RA, Kutyavin DS, Fam VCH, Peshkova IS, Abramovskaya DV, Govorova VD, Medvedeva MS. Choice of treatment option for pulpits of children’s primary teeth. Мedical education today. 2022. 17(1):6-11. (In Russ.)
12. Korolenkova MV, Rakhmanova MS. Outcomes of traumatic dental injuries in children. Stomatologiya. 2019;98(4):116-122. (In Russ.). https://doi.org/10.17116/stomat201998041116
13. Roaskamp L, Trevilatto PC, Souza CM, Silva Neto UX, Carneiro E, Fariniuk LF, Westphalen VPD. Types of external root resorption of replanted teeth: analysis of the clinical aspects and of Interleukin-4 Gene Polymorphisms Involvement. J Endod. 2017;43(11):1792-1796. https://doi.org/10.1016/j.joen.2017.06.027
14. Kovylina OS, Gromova SN. Formation of the left of second incisor root of the 10 years old girl with periodontitis treated using tricalcium silicate cement. Endodontics today. 2015;13(1):25-28. (In Russ.)
15. A.V. Mitronin, D.A. Ostanina, Yu.A. Mitronin. Review of the modern pulp condition diagnosis. Endodontics today. 2020; 18(1):42-45. DOI: 10.36377/1726-7242-2020-18-1-42-45.
16. Soares TRC, Silva LP, Salazar SLA, Luiz RR, Risso PA, Maia LC. Profile of intrusive luxation and healing complications in deciduous and permanent teeth – a retrospective study. Acta Odontol Scand. 2018:1-5. https://doi.org/10.1080/00016357.2018.1481226
17. Andreasen JO, Flores MT, Lauridsen E. Injuries to developing teeth. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 5th edn. Copenhagen: Wiley Blackwell 2019:589-625.
Review
For citations:
Gromova S.N., Pyshkina O.A., Maltseva O.A., Raskov A.A., Koledaeva A.K. A clinical case of treatment of a tooth root fracture (4 years follow-up). Endodontics Today. 2022;20(2):148-155. (In Russ.) https://doi.org/10.36377/1726-7242-2022-20-2-148-155
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