horizontal root fracture in the name of god by:dr. roohi endodontics department
TRANSCRIPT
Horizontal Root Fracture
IN THE NAME OF GOD
By:Dr. RoohiEndodontics department
description
Etiology
Root fracture - diagnostic signs
Visual signs
The coronal segment may be mobile and in some cases displaced. Transient crown discoloration (red or grey) may occur. Bleeding from the gingival sulcus may be noted.
Root fracture - diagnostic signsPercussion test
Mobility test
Sensibility pulp test
Radiographic findings
Radiographs recommended
Root fracture - diagnostic signs
treatment
Treatment
Localization of fracture line
Treatment
Patient instructions
Follow-up
Healing patterns
Prognosis
No events recorded during 10-year follow-up
Pul necrosisInfection related resorptionAnkylosis resorptionTooth loss
Only pulp canal obliteration was seen
Prognosis
Prognosis
Results, ten years after the injury
Number of diagnosed events Estimated risk (%) 95% confidence
interval
Tooth loss 1 9.1 [ 0 - 24.7 ]
Pulp necrosis 3 23.1 [ 1.6 - 44.5 ]
Pulp canal obliteration 9 > 76.9 not available
Ankylosis 0 0 not available
Inflammatory root resorption 0 0 not available
Surface resorption 0 0 not available
Bone loss 0 0 not available
Prognosis
Results, ten years after the injury
Number of diagnosed events Estimated risk (%) 95% confidence interval
Tooth loss 4 11 [ 0.8 - 21.2 ]
Pulp necrosis 14 33.2 [ 18.4 - 48 ]
Pulp canal obliteration 25 > 67.4 not available
Ankylosis 1 2.5 [ 0 - 7.4 ]
Inflammatory root resorption 0 0 not available
Surface resorption 0 0 not available
Bone loss 2 6 [ 0 - 14.3 ]
Prognosis
Results, ten years after the injury
Number of diagnosed events Estimated risk (%) 95% confidence
interval
Tooth loss 5 54 [ 27.2 - 80.8 ]
Pulp necrosis 5 > 31.2 not available
Pulp canal obliteration 9 > 68.8 not available
Ankylosis 0 0 not available
Inflammatory root resorption 0 0 not available
Surface resorption 0 0 not available
Bone loss 3 18.8 [ 0 - 37.9 ]
Prognosis
Results, ten years after the injury
Number of diagnosed events Estimated risk (%) 95% confidence
interval
Tooth loss 10 21.5 [ 6.4 - 36.6 ]
Pulp necrosis 22 30.9 [ 19.9 - 41.9 ]
Pulp canal obliteration 43 > 69.8 not available
Ankylosis 1 1.5 [ 0 - 4.3 ]
Inflammatory root resorption 0 0 not available
Surface resorption 0 0 not available
Bone loss 5 7.6 [ 1.1 - 14.2 ]
References
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International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012; 28: 66-71.Erratum in Dent Traumatol. 2012;28: 499. •Moorrees CF, Fanning EA, Hunt EE. Age variation of formation stages for ten permanent teeth. J Dent Res 1963; 42: 1490-1502. •Andreasen JO, Andreasen FM, Bakland LK, Flores MT. Root fracture. Traumatic Dental Injuries. A Manual. Oxford: Blackwell/Munksgaard Publishing Company. 2003, 34-35. •Andreasen FM, Andreasen JO, Cvek M. Root fractures. In: Andreasen JO, Andreasen FM, Andersson L, (eds.). Textbook and Color Atlas of Traumatic Injuries to the Teeth (4 th ed.).Oxford, Blackwell 2007. 337-371 • Andreasen JO, Ahrensburg SS, Tsilingaridis G. Root fractures: the influence of type of healing and location of fracture on tooth survival rates -an analysis of 492 cases. Dent Traumatol. 2012, 28: 404-409 •Andreasen JO, Ahrensburg SS, Tsilingaridis G. Tooth mobility changes subsequent to root fractures: a longitudinal clinical study of 44 permanent teeth. Dent Traumatol.2012, 28: 410-414 • Hermann NV, Lauridsen E, Ahrensburg SS, Gerds TA, Andreasen JO. Periodontal healing complications following concussion and subluxation injuries in the permanent dentition. A longitudinal cohort study. Dent Traumatol. 2012, 28: 386-393 •DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M.International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012, 28:2-12
etiology
Treatment