Spontaneously healed horizontal root fracture: a case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/19988 |
Resumo: | Root fractures are defined as those that involve cement, dentin and pulp, comprising from 1,2 to 7% of injuries in permanent dentition. Usually affects the maxillary anterior region, and generally heals spontaneously, depeding on the vitality of the pulp. Diagnosis is made by clinical findings, sensitivity tests and radiographic examination. Futhermore, cone-beam computed tomography (CBCT) has been used for diagnosis and prognosis, due to the reproduction of three-dimensional images, the location and the path of the fracture line can be accurately visualized. This study reports a case of dental trauma caused by fall from own height. The patient suffered horizontal root fracture in maxillary left central incisor, wich was confirmed from radiographic examination, positioned at the end of the middle third. As immediate treatment, it was performed the repositioning and spliting. To confirm the exact location of the fracture and if healing occurred, CT images of the were performed 30 days after the trauma and the fracture with an oblique path healed by calcified tissue could be visualized. In this way, it was decided to follow-up the horizontal radicular fracture with the control time of:15 days, 30 days, 60 days, 2 years and 5 years. It alllowed the tooh to be preserved in the arch, with normal function. |
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Spontaneously healed horizontal root fracture: a case report Fractura radicular horizontal con cicatrización espontánea: reporte de casoFratura radicular horizontal com cicatrização espontânea: relato de casoRegenerative EndodonticsTooth InjuriesPrognosisWound HealingCone- Beam Computed Tomography.Endodoncia RegenerativaTraumatismo de los DientesPronosticoCicatrizaciónTomografía Computarizada de Haz Cónico.Endodontia regenerativaPrognósticoCicatrizaçãoTraumatismo DentárioTomografia Computadorizada de Feixe Cônico.Root fractures are defined as those that involve cement, dentin and pulp, comprising from 1,2 to 7% of injuries in permanent dentition. Usually affects the maxillary anterior region, and generally heals spontaneously, depeding on the vitality of the pulp. Diagnosis is made by clinical findings, sensitivity tests and radiographic examination. Futhermore, cone-beam computed tomography (CBCT) has been used for diagnosis and prognosis, due to the reproduction of three-dimensional images, the location and the path of the fracture line can be accurately visualized. This study reports a case of dental trauma caused by fall from own height. The patient suffered horizontal root fracture in maxillary left central incisor, wich was confirmed from radiographic examination, positioned at the end of the middle third. As immediate treatment, it was performed the repositioning and spliting. To confirm the exact location of the fracture and if healing occurred, CT images of the were performed 30 days after the trauma and the fracture with an oblique path healed by calcified tissue could be visualized. In this way, it was decided to follow-up the horizontal radicular fracture with the control time of:15 days, 30 days, 60 days, 2 years and 5 years. It alllowed the tooh to be preserved in the arch, with normal function.La fractura radicular puede ser definida como aquella que envuelve la dentina, cemento, ligamiento periodontal y pulpa, comprendiendo de 1,2 a 7% de los traumas en la dentición permanente. Afecta normalmente la región de los dientes anteriores, y generalmente se cicatriza espontáneamente, dependiendo de la vitalidad pulpar. El diagnóstico es realizado a través del examen clínico, test de sensibilidad pulpar y examen radiográfico. Mas allá de esto, la Tomografía computarizada de haz cónico ha sido utilizada de forma auxiliar en el diagnóstico y pronostico debido a la reproducción de imágenes tridimensionales, permitiendo visualizar de forma exacta la localización y trayecto de la línea de fractura. Este estudio relata un caso clínico de trauma dental causado por caída de la propia altura. La paciente presentaba fractura radicular horizontal en el elemento 21, que fue confirmada a partir del examen radiográfico. La fractura estaba localizada al final del tercio medio. Como tratamiento inmediato, fue realizado el posicionamiento y entablillado. Para la confirmación de la localización exacta de la fractura y si hubo proceso de cicatrización, fueron realizadas imágenes de tomografía computarizada de haz cónico después de 30 días del trauma, y se puede visualizar la fractura con trayecto oblicuo cicatrizada por tejido calcificado. De esa forma, se optó por el seguimiento de la fractura radicular horizontal con tiempo de control de 15 días, 30 días, 60 días, 2 años y 5 años. Permitiendo así, que el diente sea preservado en la cavidad bucal sin intervenciones. A fratura radicular horizontal pode ser definida como aquela que envolve dentina, cemento, ligamento periodontal e polpa, compreendendo de 1,2 a 7% dos traumas na dentição permanente. Afeta normalmente a região de dentes anteriores, e geralmente cicatriza-se espontaneamente, dependendo da vitalidade pulpar. O diagnóstico é realizado através de exame clínico, teste de sensibilidade pulpar e exame radiográfico. Além disso, a Tomografia Computadorizada de Feixe Cônico tem sido utilizada de forma a auxiliar no diagnóstico e prognóstico, devido a reprodução de imagens tridimensionais, permitindo visualizar de forma exata a localização e trajeto da linha de fratura. Este estudo relata um caso clínico de trauma dental causado por queda de própria altura. A paciente apresentava fratura radicular horizontal no elemento 21, localizada em terço médio, que foi confirmada através do exame radiográfico. Como tratamento imediato, foi realizado o reposicionamento e esplintagem. Para a confirmação da localização exata da fratura e se houve o processo de cicatrização, foi realizada imagens de tomografia computadorizada de feixe cônico após 30 dias do trauma, pôde-se visualizar a fratura com trajeto oblíquo cicatrizada por tecido calcificado. Dessa forma, optou-se por acompanhamento da fratura radicular horizontal com tempo de controle de 15 dias, 30 dias, 60 dias, 2 anos e 5 anos. Permitindo, assim, que o dente seja preservado na cavidade bucal, sem intervenções.Research, Society and Development2021-09-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1998810.33448/rsd-v10i12.19988Research, Society and Development; Vol. 10 No. 12; e59101219988Research, Society and Development; Vol. 10 Núm. 12; e59101219988Research, Society and Development; v. 10 n. 12; e591012199882525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/19988/17971Copyright (c) 2021 Andréa Albuquerque Lima; Phillip Lucas Ricardo Pereira; Clóvis Stephano Pereira Bueno; Daniel Pinto de Oliveira; Leopoldo Cosme Silva; Dyana dos Santos Fagundeshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima, Andréa Albuquerque Pereira, Phillip Lucas Ricardo Bueno, Clóvis Stephano Pereira Oliveira, Daniel Pinto de Silva, Leopoldo Cosme Fagundes, Dyana dos Santos 2021-11-14T20:26:51Zoai:ojs.pkp.sfu.ca:article/19988Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:45.512088Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Spontaneously healed horizontal root fracture: a case report Fractura radicular horizontal con cicatrización espontánea: reporte de caso Fratura radicular horizontal com cicatrização espontânea: relato de caso |
title |
Spontaneously healed horizontal root fracture: a case report |
spellingShingle |
Spontaneously healed horizontal root fracture: a case report Lima, Andréa Albuquerque Regenerative Endodontics Tooth Injuries Prognosis Wound Healing Cone- Beam Computed Tomography. Endodoncia Regenerativa Traumatismo de los Dientes Pronostico Cicatrización Tomografía Computarizada de Haz Cónico. Endodontia regenerativa Prognóstico Cicatrização Traumatismo Dentário Tomografia Computadorizada de Feixe Cônico. |
title_short |
Spontaneously healed horizontal root fracture: a case report |
title_full |
Spontaneously healed horizontal root fracture: a case report |
title_fullStr |
Spontaneously healed horizontal root fracture: a case report |
title_full_unstemmed |
Spontaneously healed horizontal root fracture: a case report |
title_sort |
Spontaneously healed horizontal root fracture: a case report |
author |
Lima, Andréa Albuquerque |
author_facet |
Lima, Andréa Albuquerque Pereira, Phillip Lucas Ricardo Bueno, Clóvis Stephano Pereira Oliveira, Daniel Pinto de Silva, Leopoldo Cosme Fagundes, Dyana dos Santos |
author_role |
author |
author2 |
Pereira, Phillip Lucas Ricardo Bueno, Clóvis Stephano Pereira Oliveira, Daniel Pinto de Silva, Leopoldo Cosme Fagundes, Dyana dos Santos |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lima, Andréa Albuquerque Pereira, Phillip Lucas Ricardo Bueno, Clóvis Stephano Pereira Oliveira, Daniel Pinto de Silva, Leopoldo Cosme Fagundes, Dyana dos Santos |
dc.subject.por.fl_str_mv |
Regenerative Endodontics Tooth Injuries Prognosis Wound Healing Cone- Beam Computed Tomography. Endodoncia Regenerativa Traumatismo de los Dientes Pronostico Cicatrización Tomografía Computarizada de Haz Cónico. Endodontia regenerativa Prognóstico Cicatrização Traumatismo Dentário Tomografia Computadorizada de Feixe Cônico. |
topic |
Regenerative Endodontics Tooth Injuries Prognosis Wound Healing Cone- Beam Computed Tomography. Endodoncia Regenerativa Traumatismo de los Dientes Pronostico Cicatrización Tomografía Computarizada de Haz Cónico. Endodontia regenerativa Prognóstico Cicatrização Traumatismo Dentário Tomografia Computadorizada de Feixe Cônico. |
description |
Root fractures are defined as those that involve cement, dentin and pulp, comprising from 1,2 to 7% of injuries in permanent dentition. Usually affects the maxillary anterior region, and generally heals spontaneously, depeding on the vitality of the pulp. Diagnosis is made by clinical findings, sensitivity tests and radiographic examination. Futhermore, cone-beam computed tomography (CBCT) has been used for diagnosis and prognosis, due to the reproduction of three-dimensional images, the location and the path of the fracture line can be accurately visualized. This study reports a case of dental trauma caused by fall from own height. The patient suffered horizontal root fracture in maxillary left central incisor, wich was confirmed from radiographic examination, positioned at the end of the middle third. As immediate treatment, it was performed the repositioning and spliting. To confirm the exact location of the fracture and if healing occurred, CT images of the were performed 30 days after the trauma and the fracture with an oblique path healed by calcified tissue could be visualized. In this way, it was decided to follow-up the horizontal radicular fracture with the control time of:15 days, 30 days, 60 days, 2 years and 5 years. It alllowed the tooh to be preserved in the arch, with normal function. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19988 10.33448/rsd-v10i12.19988 |
url |
https://rsdjournal.org/index.php/rsd/article/view/19988 |
identifier_str_mv |
10.33448/rsd-v10i12.19988 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19988/17971 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 12; e59101219988 Research, Society and Development; Vol. 10 Núm. 12; e59101219988 Research, Society and Development; v. 10 n. 12; e59101219988 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052788937588736 |