Restorative treatment approach to root fractures of the traumatized anterior teeth (three case reports)

Abstract

Objective: Root fractures caused by trauma, as they can lead to pain, loss of function and aesthetics, as well as patients with poor psychological problems that needs to be treated quickly. Different treatment strategies can be developed according to the localization of the fracture. Case: In this case reports described the treatments of horizontally fractured maxillary lateral incisors with the luting the root-crown fragments with composite resin using a polyethylene fiber post. In the other case described the restoration of extraction of maxillary central incisor due to a broken root with a temporary fiber reinforced adhesive bridge. Result: The radiological and clinical controls after 12 months showed that good stabilization of the cases, with aesthetics and periodontal health.

Keywords

• Dental trauma; root fractures; fiber post; ribbond; fiber reinforced adhesive bridge

Travma geçirmiş anterior dişlerde gelişen kök kırıklarında restoratif

Abstract

Özet: Amaç: Travma sonucu meydana gelen kök kırıkları ağrı, fonksiyon kaybı ve kötü estetiğin yanı sıra hastada psikolojik sorunlara da yol açabilmesi itibariyle hızlı bir şekilde tedavi edilmesi gereken bir sorundur. Kırığın lokalizasyonuna göre farklı tedavi stratejileri geliştirilebilir. Olgu: Bu vaka raporunda üst çene lateral kesici dişlerin koronal üçlüsünde gelişen horizontal kırıkların tedavisinde kron parçalarının polietilen fiber post ve kompozit ile köke yapıştırılması ve üst çene santral kesici dişin apikal üçlüsünde gelişen kök kırığı sebebiyle çekilmesi sonrasında hastadaki diş eksikliğinin fiber ile güçlendirilmiş adeziv köprü ile geçici olarak restore edilmesi anlatıldı. Sonuç: 12 ay sonrasında vakalarda yapılan radyolojik ve klinik kontroller vakaların iyi bir stabilizasyona, estetiğe ve periodontal sağlığa sahip olduğunu gösterdi.

Keywords

• Dental travma, kök kırığı, fiber post, ribbond, fiberle güçlendirilmiş adeziv köprü

References

1. Burke FJT. Reattachment of a fractured central incisor tooth fragment. Br Dent J. 1991; 170: 223-225.
2. Andreasen FM, Andreasen JO. Root fractures. In: Andreasen JO, Andreasen FM, editors. Textbook and color atlas of traumatic injuries to the teeth, 3rd edn. Copenhagen: Munsksgaard. 1994; p. 279-311.
3. Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1, 298 cases. Scand J Dent R. 1979; 78: 329-342.
4. Brich R, Rock WP. The incidence of coplications following root fracture in permanent anteriar teeth. Br Dent J. 1986; 160: 119- 122.
5. Cohen S, Burns RC. Pathways of the pulp, The Mosby Co., St.Louise. 1976: 20-21.
6. Bondemark L, Kurol J, Hallonsten AL, Andreasen JO. Attractive magnets for orthodontic extrusion of crown root fractured teeth. Am J Orthod Dentofacial Orthop. 1997; 112: 187–193.
7. Andreasen JO, Andreasen FM. Essentials of traumatic injuries to the teeth, 1st edn. Copenhagen: Munksgaard; 1991: 47–62.
8. Wang Z, Heffernan M, Vann WF Jr. Management of a complicated crown-root fracture in a young permanent incisor using intentional replantation. Dent Traumatol . 2008; 24: 100-103.

9. Baratieri LN, Monteiro S, De Andrada MAC. Tooth fracture reattachment: case reports. Quintessence Int. 1990; 21: 261–270.
10. Arhun N, Ungor M. Re-attachment of a fractured tooth: a case report. Dent Traumatol. 2007; 23: 322-326.
11. Zorba YO, Ozcan E. Reattachment of coronal fragment using fiber-reinforced post: a case report. Eur J Dent. 2007; 1: 174-178.
12. Unlu N, Belli S. Three-year clinical evaluation of fiber-reinforced composite fixed partial dentures using prefabricated pontics. J Adhes Dent. 2006; 8: 183-188.
13. Kusgoz A, Sener Y, Ülker M, Yıldırım S, Koyuturk AE. “Fiberle Güçlendirilmiş Kompozit ile Üst Keser Diş Eksikliğinin Restorasyonu: üç olgu sunumu. Türk Diş Hekimliği Dergisi. 2007; 68: 78-82.
14. İlday NÖ, Zorba YO. Fiberle Güçlendirilmiş Kompozit Inlay Köprü Uygulamaları. Türkiye Klinikleri J Dental Sci. 2009; 15: 53-58.
15. Chan DC, Giannini N, De Goes MF. Provisional anterior tooth replacement using nonimpregnated fiber and fiber- reinforced composite resin materials: A clinical report. J Prothet Dent. 2006; 95: 344-348.
16. Trushkowsky RD. Esthetic, biologic and restorative considerations in coronal segment reattachment for a fractured tooth: a clinical report. J Prosthet Dent. 1998; 79: 115
17. Harty FJ, Pitt Ford TR. Harty’s endodontics in clinical practice. Wright Oxford: Boston. 1997: 209-216.
18. Andreasen JO, Andreasen FM: Text book and color atlas of traumatic injuries to the teeth, The Mosby Co. Copenhagen. 1981: 337-371.
19. Baratieri LN, Monteiro S Jr, de Albuquerque FM, VieiraLC, de Andrada MA, de Melo Filho TC. Reattachment of a tooth fragment with a new adhesive system: a case report. Quintessence Int. 1994; 25: 91-96.
20. Fidel SR, Sassone L, Alvares GR, Guimarães RP, Fidel RA. Use of glass fiber post and composite resin in restoration of a vertical fractured tooth. Dent Traumatol. 2006; 22: 337-339.
21. Belli S, Erdemir A, Yildirim C. Reinforcement effect of polyethylene fibre in root-filled teeth: comparison of two restoration techniques. Int Endod J. 2006; 39: 136–142.
22. Belli S, Cobankara FK, Eraslan O, Eskitascioglu G, Karbhari V. The effect of Şber insertion on fracture resistance of endodontically treated molars with MOD cavity and reattached fractured lingual cusps. J Biomed Mater Res B Appl Biomater. 2006; 79: 35-41.
23. Vitale MC, Caprioglio C, Martignone A, Marchesi U, Botticelli AR. Combined technique with polyethylene fibers and composite resins in restoration of traumatized anterior teeth. Dent traumatol. 2004; 20: 172-177.
24. Eskitascıoglu G, Eskitascıoglu A, Belli S. Use of polyethylene ribbon to create a provisional fixed partial denture after immediate implant placement: A clinical report. J Prosthet Dent. 2004; 91: 11-14.
25. Belli S, Özer F. A simple method for single anterior tooth replacement. J Adhesive Dent. 2000; 2: 67-70.
26. Strassler HE, LoPresti J, Scherer W, Rudo DN. Clinical evaluation of woven polyethylene ribbon used for splinting. Esthetic Dent Update. 1995; 6: 79-84.
27. Ferreira ZA, de Carvalho EK, Mitsudo RS, et al: Bondable reinforcement ribbon: clinical applications. Quintessence Int. 2000; 31: 547-552.
28. Li W, Swain MV, Li Q, Ironside J, Steven GP. Fiber reinforced composite dental bridge. Part I: experimental investigation. Biomaterials. 2004; 25: 4987-4993.
29. Burkard H. Ön dişler bölgesinde kompozit kullanılarak doğrudan köprü yapımı. Quintessence Türkçe. 2004; 2: 13