Root fracture in the permanent maxillary central incisors: a case report of 10 years follow-up

Authors

  • Gomes São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
  • Padovese São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
  • Pessan São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
  • Robson Frederico Cunha São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-0849-3247

DOI:

https://doi.org/10.47990/alop.v12i1.521

Keywords:

dental trauma; permanent tooth; root fracture; child

Abstract

The objective of this case report is to present a 9-year-old female patient who suffered horizontal root fracture in the middle third of the two upper central permanent incisors. The teeth were splinted with composite resin in the proximal teeth involved in the trauma. After, the patient was referred to the pediatric dentistry clinic, where she received clinical and radiographic care for a period of ten years. Endodontic intervention was not necessary on both central incisors teeth. Tooth 11 healing by interposition of bone and connective tissue, and teeth 21 healing by interposition of connective tissue. After ten years, the teeth presented without any significant signs or symptoms requiring an invasive intervention. It is concluded that the patient's cooperation regarding care, oral hygiene and attendance at the return appointments, can be decisive for the success of the treatment.

References

Cavalcanti AL, Bezerra PK, de Alencar CR, Moura C. Traumatic anterior dental injuries in 7- to 12-year-old Brazilian children. Dent Traumatol. 2009; 25:198-202.

Robertson, A. A retrospective evaluation of patients with uncomplicated crown fractures and luxation injuries. Endod Dent Traumatol 1998; 14: 245-56.

Scariot, R. et al. Maxillofacial injuries in a group of Brazilian subjects under 18 years of age. Journal of applied oral science 2009; 17: 195-198,.

Andreasen FM, Andreasen JO. Roots fractures. In: Andreasen JO, Andreasen FM, editors. Textbook and color atlas of traumatic injuries to the teeth, 3rd edn. Copenhagen: Munksgaard; 1994; 301–14.

Caliskan, M. K.; Pehlivan, Y. Prognosis of root‐fractured permanent incisors. Dental Traumatology 1996; 3: 129-136.

Bourguignon, C, Cohenca, N, Lauridsen, E, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol. 2020; 36: 314– 330.

Majorana, A. et al. Clinical and epidemiological study of traumatic root fractures. Dental Traumatology 2002;18: 77-80.

Camp, J. H. Management of sports-related root fractures. Dental clinics of North America 2000; 44: 95-109.

Andreasen JO, Hjørting-Hansen E. Intra-alveolar root fractures: radiographic and histologic study of 50 cases. J Oral Surg 1967; 25:414–26.

Feely, L., Mackie, I.C. e Macfarlane, T. An investigation of root-fractured permanent incisor teeth in children. Dental Traumatology 2003; 19: 52-54.

Nagendrababu V, Chong BS, McCabe P, Shah PK, Priya E, Jayaraman J, et al. PRICE 2020 guidelines for reporting case reports in Endodontics: a consensus-based development. Int Endod J. 2020; 53:619-26.

Artvinli LB, Dural S. Spontaneously healed root fracture: report of a case. Dent Traumatol 2003;19:64–5.

Published

2022-11-27

Issue

Section

Case report

How to Cite

Root fracture in the permanent maxillary central incisors: a case report of 10 years follow-up . (2022). Latin American Pediatric Dentistry Journal, 12(1). https://doi.org/10.47990/alop.v12i1.521