A Rare Complication in an Untreated Horizontal Root Fracture Case

Yıl 2019, Cilt: 6 Sayı: 3, 396 - 399, 17.12.2019

Fatih Tulumbacı Volkan Arıkan Aylin Akbay Oba Fethi Atıl

https://doi.org/10.15311/selcukdentj.357968

Öz

Intra-alveolar root fractures in permanent teeth are
rare following dental traumatic injuries. The diagnosis of root fractures
depends on careful clinical and radiographic examination. The successful
treatment of a root-fractured tooth involves repositioning and fixation.
Although the outcome of a root fracture is generally favourable, complications
such as pulpal necrosis, radicular resorption and pulpal canal obliteration can
arise. A radicular cyst is an inflammatory cyst that develops as a result of
untreated dental caries, with pulp necrosis and periapical infection following
chemical, physical or bacterial injury. In this case report, the diagnosis and
treatment of a rare case of a radicular cyst, which occurred as a result of
pulp necrosis following horizontal root fracture, and an apical root fragment,
which was displaced by the cystic lesion to the base of the nasal cavity, are presented.

Anahtar Kelimeler

Root fractures, radicular cyst, Cone-beam computed tomography

Tedavi edilmeyen Horizontal Kök Kırığı Olgusunda Nadir Bir Komplikasyon

Öz

Travmatik
diş yaralanmalarından sonra daimi dişlerde intra-alveolar kök fraktürleri nadir
olarak görülmektedir. Kök kırıklarının tanısı dikkatli klinik ve radyografik
muayanelere bağlıdır. Kök kırığı olan bir dişin başarılı bir şekilde tedavisi
yeniden konumlandırmayı ve fiksasyonu gerektirir. Kök kırığının sonucu
genellikle olumlu olmasına rağmen, pulpal nekroz, radiküler rezorpsiyon ve
pulpa kanal obliterasyonu gibi komplikasyonlar ortaya çıkabilir. Radiküler
kist, tedavi edilmemiş diş çürüğü, kimyasal, fiziksel veya bakteriyel hasar
sonrası pulp nekrozu ve periapikal enfeksiyon sonucu gelişen bir inflamatuar
kisttir. Bu olgu sunumunda, yatay kök kırığı sonrası pulpa nekrozu sonucu
ortaya çıkan nadir bir radiküler kist olgusunun ile kistik lezyonla burun
tabanı arasında yer değiştiren apikal kök kırığı parçasının tanı ve tedavisi sunulmaktadır.

Anahtar Kelimeler

Kök kırıkları, konik ışınlı bilgisayarlı tomografi, radiküler kist

Kaynakça

• 1. Clark SJ, Eleazer P. Management of a horizontal root fracture after previous root canal therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89:220-3.
• 2. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra‐alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol 2004; 20:203-211.
• 3. Feely L, Mackie IC, Macfarlane T. An investigation of root-fractured permanent incisor teeth in children. Dent Traumatol 2003; 19:52-4.
• 4. Cvek M, Andreasen JO, Borum MK. Healing of 208 intraalveolar root fractures in patients aged 7–17 years. Dent Traumatol 2001; 17:53-62.
• 5. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra‐alveolar root fractures. 1. Effect of pre‐injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol 2004; 20:192-202.
• 6. Majorana A, Pasini S, Bardellini E, Keller E. Clinical and epidemiological study of traumatic root fractures. Dent Traumatol 2002; 18:77-80.
• 7. Fomete B, Osunde OD, Oqbeifun J, Aqbara R, Ononiwu CN. A 10-Year Retrospective Analysis of 64 Cases of Cystic Lesions of the Oral and Maxillofacial Region in a Nigerian Tertiary Hospital. Omen Med J, 2016. 31:434-438.
• 8. Camp JH. Management of sports-related root fractures. Dent Clin North Am 2000; 44: 95-109, vi-vii.
• 9. Chala S, Sakout M, Abdallaoui F. Repair of untreated horizontal root fractures: two case reports. Dent Traumatol 2009; 25:457-9.
• 10. Oztan MD, Sonat B. Repair of untreated horizontal root fractures: two case reports. Dent Traumatol 2001; 17:240-3.
• 11. Cobankara FK, Ungor M. Spontaneously healed horizontal root fracture in maxillary first premolar: report of a case. Dent Traumatol 2007; 23:120-2.
• 12. Falomo OO. Spontaneous repair following root fracture. Odontostomatol Trop 1985; 8: 219-20.
• 13. Bender IB, Freedland JB. Clinical considerations in the diagnosis and treatment of intra-alveolar root fractures. J Am Dent Assoc 1983; 107: 595-600.
• 14. Lenzi R, Trope M. Revitalization procedures in two traumatized incisors with different biological outcomes. J Endod 2012; 38:411-4.
• 15. Tetradis S, Anstey P, Graff-Radford S. Cone beam computed tomography in the diagnosis of dental disease. J Calif Dent Assoc 2010; 38:27-32.
• 16. Hovland EJ. Horizontal root fractures. Treatment and repair. Dent Clin North Am 1992;36:509-25.
• 17. Kothari P, Murphy M, Thompson J . Horizontal root fracture--an unusual complication. Br Dent J 1994;176:349-50.
• 18. Schwartz Z, Somers A, Mellonig TJ, Carnes DL Jr, Dean DD, Cochran DL. Ability of commercial demineralized freeze-dried bone allograft to induce new bone formation is dependent on donor age but not gender. J Periodontol 1998;69:470–8.
• 19. Gibson GM, Pandolfi PJ,Luzador JO. Case report: a large radicular cyst involving the entire maxillary sinus. Gen Dent 2002; 50:80-1.
• 20. Amos MJ, Dalghous A, Alkhabuli J, Mizen KD. Massive maxillary radicular cyst presenting as facial fracture and abscess, a case report. Libyan J Med 2007;2: 211–213.
• 21. Scarfe WC, Farman AG, Sukovic P. Clinical Applications of Cone-Beam Computed Tomography in Dental Practice. J Can Dent Assoc 2006;72:75–80.
• 22. Hatcher DC. Operational principles for cone-beam computed tomography. J Am Dent Assoc 2010; 141:3S-6S.
• 23. Hidalgo Rivas JA, Horner K, Thiruvenkatachari B, Davies J, Theodorakou C. Development of a low dose protocol for cone beam CT examinations of the anterior maxilla in children. Br J Radiol 2015;20150559.
• 24. Leif Kullman, Mona Al Sane. Guidelines for dental radiography immediately after a dento-alveolar trauma, a systematic literature review. Dent Traumatol 2012; 28: 193–199.
• 25. Jaju PP, Jaju SP. Clinical utility of dental cone-beam computed tomography: current perspectives. Clin Cosmet Invest Dent 2014;6;29–43.