TODENTJ-25-03-2019_TODENTJ-12-687
1553507500
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
09
28
2018
12
1
The Horizontal Root Fractures. Diagnosis, Clinical Management and Three-Year Follow-Up
Roberto
Lo Giudice
Angelo
Lizio
Gabriele
Cervino
Pietro
Ausiello
Marco
Cicciù
Objective:
The aim of this retrospective analysis is to describe and to evaluate the middle third horizontal root fractures, long term clinical management results and to estimate the effect of treatments factors upon healing and survival rate.
Methods:
Our clinical study included 42 patients presenting a middle third horizontal root fracture in permanent dentition. For each patient at t0 the parameters recorded were: diastasis, mobility, sensibility, periodontal inflammation, pulpal pathology, associated fracture and dislocation of the coronal fragment. The follow-up was performed after 6 (t1), 12 (t2) and 36 (t3) months after the trauma, both clinically and radiologically. Clinical examination, vitality tests and a radiological evaluation (periapical x-ray) were performed.
Results:
At t0 it was observed: diastasis (14, 3%), mobility (28, 6%), thermal sensibility (61, 9%), periodontal inflammation (4, 8%), pulpal pathology (38, 1%) and dislocation of the coronal fragment (47, 6%) of the patients. The treatment plan started with the coronal fragment repositioning and the blockage (splint) with the adjacent teeth in 47, 6% of cases.
A root canal treatment was performed at t0 in 52,4% of the fractured teeth. Statistical analysis showed the highest level of significance between pulpal lesions (t0) and associated fractures. The mobility, sensibility and pulpar lesions parameters, showed a reduction in relation to the follow up timing, with a main variation remarkably evident between t0 and t1. The ratio between observation time and the presence of diastasis was statistically significant.
Conclusion:
The analysis of the clinical results exhibits the high success rate of a conservative approach in the treatment of teeth fractured in the middle third of the root.
09
28
2018
687
695
TODENTJ-12-687
1
10.2174/crossmark_policy
opendentistryjournal.com
benthamopen.com
true
Peer Reviewed
Single blind
Checked with iThenticate
2018-5-22
2018-7-28
2018-9-13
2018-09-28
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1745017901814010687
1553507500
https://opendentistryjournal.com/VOLUME/12/PAGE/687/
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.pdf
-
https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-687/TODENTJ-12-687.xml
Dent. Traumatol.
Sharma D.
27
321
2011
10.1111/j.1600-9657.2011.01006.x
Sharma D, Garg S, Sheoran N, Swami S, Singh G.
Multidisciplinary approach to the rehabilitation of a tooth with two trauma episodes: Systematic review and report of a case.
Dent Traumatol
2011;
27
(4)
: 321-6.
Endod. Dent. Traumatol.
Onetto J.E.
10
223
1994
10.1111/j.1600-9657.1994.tb00074.x
Onetto JE, Flores MT, Garbarino ML.
Dental trauma in children and adolescents in Valparaiso, Chile.
Endod Dent Traumatol
1994;
10
(5)
: 223-7.
Oper. Dent.
Reis A.
26
287
2001
Reis A, Francci C, Loguercio AD, Carrilho MR, Rodriques Filho LE.
Re-attachment of anterior fractured teeth: fracture strength using different techniques.
Oper Dent
2001;
26
(3)
: 287-94.
Oper. Dent.
Reis A.
29
226
2004
Reis A, Loguercio AD, Kraul A, Matson E.
Reattachment of fractured teeth: A review of literature regarding techniques and materials.
Oper Dent
2004;
29
(2)
: 226-33.
Dent. Traumatol.
Versiani M.A.
24
136
2008
10.1111/j.1600-9657.2006.00507.x
Versiani MA, de Sousa CJ, Cruz-Filho AM, Perez DE, Sousa-Neto MD.
Clinical management and subsequent healing of teeth with horizontal root fractures.
Dent Traumatol
2008;
24
(1)
: 136-9.
J. Int. Soc. Prev. Community Dent.
Cervino G.
7
64
2017
10.4103/jispcd.JISPCD_521_16
Cervino G, Fiorillo L, Spagnuolo G, et al.
Interface between MTA and dental bonding agents: Scanning electron microscope evaluation.
J Int Soc Prev Community Dent
2017;
7
(1)
: 64-8.
J. Oral Rehabil.
Lee I.B.
32
304
2005
10.1111/j.1365-2842.2004.01414.x
Lee IB, Cho BH, Son HH, Um CM.
A new method to measure the polymerization shrinkage kinetics of light cured composites.
J Oral Rehabil
2005;
32
(4)
: 304-14.
Andreasen JO, Andreasen FM, Andersson L.
Textbook and color atlas of traumatic injuries to the teeth
2007;
337-71.
Schweiz. Monatsschr. Zahnmed.
Wölner-Hanssen A.B.
120
200
2010
Wölner-Hanssen AB, von Arx T.
Permanent teeth with horizontal root fractures after dental trauma. A retrospective study.
Schweiz Monatsschr Zahnmed
2010;
120
(3)
: 200-12.
J. Dent. Res. Dent. Clin. Dent. Prospect.
Gharechahi M.
7
244
2013
Gharechahi M.
Horizontal root fracture accompanied by luxation of coronal fragment in a maxillary central incisor: A case report.
J Dent Res Dent Clin Dent Prospect
2013;
7
(4)
: 244-7.
Dent. Traumatol.
Andreasen J.O.
20
192
2004
10.1111/j.1600-9657.2004.00279.x
Andreasen JO, Andreasen FM, Mejàre 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
(4)
: 192-202.
Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod.
Kusgoz A.
107
e68
2009
10.1016/j.tripleo.2009.01.031
Kusgoz A, Yildirim T, Tanriver M, Yesilyurt C.
Treatment of horizontal root fractures using MTA as apical plug: Report of 3 cases.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod
2009;
107
(5)
: e68-72.
Endod. Dent. Traumatol.
Tziafas D.
9
40
1993
10.1111/j.1600-9657.1993.tb00459.x
Tziafas D, Margelos I.
Repair of untreated root fracture: A case report.
Endod Dent Traumatol
1993;
9
(1)
: 40-3.
Endod. Dent. Traumatol.
Calişkan M.K.
12
129
1996
10.1111/j.1600-9657.1996.tb00111.x
Calişkan MK, Pehlivan Y.
Prognosis of root-fractured permanent incisors.
Endod Dent Traumatol
1996;
12
(3)
: 129-36.
Int. Endod. J.
Makowiecki P.
47
889
2014
10.1111/iej.12221
Makowiecki P, Witek A, Pol J, Buczkowska-Radlinska J.
The maintenance of pulp health 17 years after root fracture in a maxillary incisor illustrating the diagnostic benefits of CBCT.
Int Endod J
2014;
47
: 889-5.
Andreasen JO, Bakland LK, Flores MT, Andreasen FN, Andersson L.
Traumatic Dental Injuries: A Manual 3rd ed.
2011.
Dent. Traumatol.
Görduysus M.
24
115
2008
10.1111/j.1600-9657.2007.00497.x
Görduysus M, Avcu N, Görduysus O.
Spontaneously healed root fractures: Two case reports.
Dent Traumatol
2008;
24
(1)
: 115-6.
Endod. Dent. Traumatol.
Andreasen F.M.
4
202
1988
10.1111/j.1600-9657.1988.tb00323.x
Andreasen FM, Andreasen JO.
Resorption and mineralization processes following root fracture of permanent incisors.
Endod Dent Traumatol
1988;
4
(5)
: 202-14.
Endod. Dent. Traumatol.
Andreasen F.M.
5
11
1989
10.1111/j.1600-9657.1989.tb00331.x
Andreasen FM, Andreasen JO, Bayer T.
Prognosis of root-fractured permanent incisors: Prediction of healing modalities.
Endod Dent Traumatol
1989;
5
(1)
: 11-22.
Gen. Dent.
Osborne J.W.
33
516
1985
Osborne JW, Lambert RL.
Reattachment of fractured incisal tooth segment.
Gen Dent
1985;
33
(6)
: 516-7.
Traumatol
28
2
2012
10.1111/j.1600-9657.2011.01103.x
Guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth dent.
Traumatol
2012;
28
: 2-12.
Quintessence Int.
Worthington R.B.
30
637
1999
Worthington RB, Murchison DF, Vandewalle KS.
Incisal edge reattachment: The effect of preparation utilization and design.
Quintessence Int
1999;
30
(9)
: 637-43.
Case Rep. Dent.
Celikten B.
2014
472759
2014
10.1155/2014/472759
Celikten B, Uzuntas CF, Safaralizadeh R, Demirel G, Sevimay S.
Multidisciplinary approach for the treatment of horizontal root-fractured maxillary anterior teeth.
Case Rep Dent
2014;
2014
: 472759.
Dent. Cadmos
Lo Giudice G.
83
296
2015
10.1016/S0011-8524(15)30036-2
Lo Giudice G, Lo Giudice R, Matarese G, et al.
Evaluation of magnification systems in restorative dentistry An in-vitro study.
Dent Cadmos
2015;
83
(5)
: 296-305.
G. Ital. Endod.
Riccitiello F.
26
67
2012
10.1016/j.gien.2012.05.002
Riccitiello F, Maddaloni G, D’Ambrosio C, Amato M, Rengo S, Simeone M.
Operating microscope: Diffusion and limits.
G Ital Endod
2012;
26
: 67-72.
Int J Clin Dent
Mohammadi Z.
6
173
2013
Mohammadi Z, Giardino L, Palazzi F, et al.
Effect of sodium hypochlorite on the substantivity of chlorhexidine.
Int J Clin Dent
2013;
6
(2)
: 173-8.
J. Conserv. Dent.
Lo Giudice G.
15
80
2012
10.4103/0972-0707.92613
Lo Giudice G, Lipari F, Lizio A, Cervino G, Cicciù M.
Tooth fragment reattachment technique on a pluri traumatized tooth.
J Conserv Dent
2012;
15
(1)
: 80-3.
Indian J. Dent. Res.
Lo Giudice G.
23
763
2012
10.4103/0970-9290.111256
Lo Giudice G, Cicciù M, Cervino G, Lizio A, Visco AM.
Flowable resin and marginal gap on tooth third medial cavity involving enamel and radicular cementum: A SEM evaluation of two restoration techniques.
Indian J Dent Res
2012;
23
(6)
: 763-9.
Application of the international classification of diseases to dentistry and stomatology (ICD-DA) 2nd ed.
1978.
Dent. Traumatol.
Diangelis A.J.
28
2
2012
10.1111/j.1600-9657.2011.01103.x
Diangelis AJ, Andreasen JO, Ebeleseder KA, et al.
International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth.
Dent Traumatol
2012;
28
(1)
: 2-12.
Dent. Traumatol.
Cvek M.
17
53
2001
10.1034/j.1600-9657.2001.017002053.x
Cvek M, Andreasen JO, Borum MK.
Healing of 208 intra-alveolar root fractures in patients aged 7-17 years.
Dent Traumatol
2001;
17
(2)
: 53-62.
Int J Dent
Lo Giudice G
2016
Lo Giudice G, Lizio A, Lo Giudice R, et al.
The effect of different cleaning protocols on post space: A SEM study.
Int J Dent
2016.
Dentomaxillofac. Radiol.
Mora M.A.
36
382
2007
10.1259/dmfr/25073870
Mora MA, Mol A, Tyndall DA, Rivera EM.
Effect of the number of basis images on the detection of longitudinal tooth fractures using local computed tomography.
Dentomaxillofac Radiol
2007;
36
(7)
: 382-6.
G. Ital. Endod.
Iandolo A.
30
2
2016
10.1016/j.gien.2015.12.001
Iandolo A, Iandolo G, Malvano M, Pantaleo G, Simeone M.
Modern technologies in Endodontics.
G Ital Endod
2016;
30
: 2-9.
Chin. J. Dent. Res.
Wang P.
13
31
2010
Wang P, Yan XB, Liu DG, Zhang WL, Zhang ZY, Ma XC.
Evaluation of dental root fracture using cone-beam computed tomography.
Chin J Dent Res
2010;
13
(1)
: 31-5.
Dent. Traumatol.
Andrade E.S.
24
e1
2008
10.1111/j.1600-9657.2008.00556.x
Andrade ES, de Campos Sobrinho AL, Andrade MG, Matos JL.
Root healing after horizontal fracture: a case report with a 13-year follow up.
Dent Traumatol
2008;
24
(4)
: e1-3.
Chin J Traumatol Eng Ed
Fama F.
20
4
2017
Fama F, Cicciu M, Sindoni A, et al.
Maxillofacial and concomitant serious injuries: An eight-year single center experience.
Chin J Traumatol Eng Ed
2017;
20
(1)
: 4-8.
Restor. Dent. Endod
Choi Y.
39
126
2014
10.5395/rde.2014.39.2.126
Choi Y, Hong SO, Lee S-R, Min K-S, Park S-J.
Healing after horizontal root fractures: 3 cases with 2-year follow-up.
Restor Dent Endod
2014;
39
(2)
: 126-31.
Int. J. Periodontics Restorative Dent.
Lo Giudice G.
36
103
2016
10.11607/prd.2066
Lo Giudice G, Matarese G, Lizio A, et al.
Invasive cervical resorption: A case series with 3-year follow-up.
Int J Periodontics Restorative Dent
2016;
36
(1)
: 103-9.
Open Dent. J.
Lo Giudice R.
10
242
2016
10.2174/1874210601610010242
Lo Giudice R, Pantaleo G, Lizio A, et al.
Clinical and spectrophotometric evaluation of LED and laser activated teeth bleaching.
Open Dent J
2016;
10
(1)
: 242-50.