Cases reported "Tooth Fractures"

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1/39. One-appointment composite crown: an alternative to conventional crown and bridge.

    When presented with little coronal tooth structure remaining, four options exist: (1) extraction only, (2) extraction and restoration, (3) root canal therapy and a cast restoration (which may involve crown lengthening and/or orthodontic extrusion), or (4) root canal therapy and a composite/amalgam crown. A technique for the composite crown option is described with case presentations.
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ranking = 1
keywords = extraction
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2/39. Resin-ionomer and hybrid-ionomer cements: part II, human clinical and histologic wound healing responses in specific periodontal lesions.

    Twenty-five subjects with a total of 50 subgingival restorations participated in this study. At the beginning of the investigation, nine teeth that were considered hopeless because of the extent of their pathology were selected for extraction to evaluate histologically the restorations and their effect on the adjacent tissues. The purpose of this article is to demonstrate the responses to the clinical applications as well as to the placement of resin-ionomers in subgingival lesions. Clinical and histologic evidence of epithelial and connective tissue adherence to resin-ionomer restorative materials was observed during the healing process.
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ranking = 0.5
keywords = extraction
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3/39. MGDS log diary case report.

    This log diary describes the treatment provided to Mrs ED, a 55-year-old female who presented with a 'broken front cap'. She also requested a complete course of treatment. This case report includes details of the treatment provided: Emergency/immediate treatment. Full history and examination and special investigations. diagnosis and treatment planning. Provision of periodontal and restorative treatment. crown lengthening and extractions. Provision of milled crowns and a post core and crown. Provision of upper and lower partial cobalt chrome dentures.
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ranking = 0.5
keywords = extraction
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4/39. The long road to success.

    The conservation of teeth can involve the many facets of restorative dentistry in an attempt to retain both functional and aesthetic demands. This case report chronicles the management of a patient presenting with several traumatized teeth, which progressed through orthograde endodontics, periodontal crown-lengthening procedures, crown placement, surgical endodontics with attempted guided tissue regeneration, to eventual tooth extraction and replacement with osseointegrated implants.
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ranking = 0.5
keywords = extraction
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5/39. Management of root fracture of mandibular permanent lateral incisor in mixed dentition--a case report.

    Management of root fracture of mandibular lateral incisors during mixed dentition with developing crowding in a ten year old boy by bilateral surgical extraction. Migration of permanent canine into the extracted region of lateral incisors was favourable with minimal spacing in between the rest of the teeth. The near normal parallel position of the roots of the permanent canines was achieved by early treatment planning of extraction of the lateral incisors instead of treating by other modalities which have a poor prognosis.
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ranking = 1
keywords = extraction
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6/39. Treatment of a cracked tooth with a resin-ionomer restoration and a connective tissue graft: a case report.

    Treatment of a cracked tooth can be difficult and unpredictable. Quite often, the most predictable treatment possible is simply extraction. This is a case report of the treatment of a cracked tooth with a resin-ionomer restoration and a connective tissue with partial-thickness double pedicle graft. The crack was detected during a routine root coverage procedure using this type of graft. A resin-ionomer was used to repair the crack. Then, the root coverage procedure was completed. Complete root coverage was obtained, including the portion of the root that was repaired. The results remained stable and the tooth treated remained asymptomatic. Clinically, the treatment was a success.
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ranking = 0.5
keywords = extraction
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7/39. Extraction as a treatment alternative follows repeated trauma in a severely handicapped patient.

    Handicapped patients with protruding maxillary incisors are prone to repeated dental trauma. A 13-year-old girl with cerebral palsy, severe mental retardation and seizure disorder was referred to our department for restoring the traumatized anterior teeth. Despite drug combination, the frequency of seizure attack was around 10 times a month. The oral examination showed multiple caries, gingival hyperplasia, class II malocclusion with 14 mm overjet and deep overbite. During the first 3 years of a 7-year follow-up period, six episodes of anterior tooth trauma due to seizure attack occurred. The trauma-related treatment performed included endodontic therapy, multiple composite restorations, apical repositional flap, and finally extraction of all four upper incisors with fabrication of a semi-fixed band-retained denture. The denture restored normal overbite and overjet with improved esthetics. For 4 years following the fabrication of denture, no trauma occurred to the anterior teeth in later seizure attacks. Considering inadequate control of seizure disorder, little ability of the patient to receive comprehensive orthodontic treatment, poor prognosis of restorations, and possible future injuries, the removal of non-functional, nonesthetic, trauma-susceptible incisor teeth can be justified as an alternative to tooth preservation.
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ranking = 0.5
keywords = extraction
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8/39. Non-extraction Tip-Edge appliance management of a moderate Angle Class II division 1 malocclusion commenced in the late mixed dentition.

    This case presentation concerns the correction of a moderate Angle Class II division 1 malocclusion of a patient whose treatment began during the late mixed dentition. Owing to the need to preserve and improve the existing facial aesthetics, treatment was started with a non-extraction approach and, in order to exploit favourable dentofacial growth changes and to avoid the possibility of extraction of teeth, was timed to coincide with the patient's expected adolescent growth spurt. Fixed appliances only were used. Special consideration had to be made for the patient's fractured upper central incisor teeth. An aesthetically pleasing treatment outcome was achieved within the expected time frame for correction. The case shows the successful combination of typical Begg mechanotherapy used during the early stages of treatment and Tip-Edge rectangular archwire mechanotherapy as used for the later and finishing stages.
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ranking = 3
keywords = extraction
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9/39. Endodontic and periodontal treatments of a geminated mandibular first premolar.

    AIM: To describe a rare case of gemination involving a mandibular first premolar. SUMMARY: The complex morphology of geminated teeth renders their endodontic and periodontal management difficult. Root canal and periodontal treatments were performed on a geminated mandibular first premolar with three canals. Clinical examination showed two separated crowns with united roots. Radiographically, two distinct pulp chambers with two joined and a third independent canal were seen. Conventional root canal treatment resulted in complete healing of the apical lesion. However, the occurrence of a vertical fracture led to the extraction of the mesial segment. At the follow-up visit, the distal segment was clinically healthy and continued to satisfy functional demands.
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ranking = 0.5
keywords = extraction
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10/39. Non-extraction tip-edge appliance management of a moderate Angle Class II division 1 malocclusion commenced in the late mixed dentition.

    This case presentation concerns the correction of a moderate Angle Class II division 1 malocclusion of a patient whose treatment began during the late mixed dentition. Owing to the need to preserve and improve the existing facial aesthetics, treatment was started with a non-extraction approach and, in order to exploit favourable dentofacial growth changes and to avoid the possibility of extraction of teeth, was timed to coincide with the patient's expected adolescent growth spurt. Fixed appliances only were used. Special consideration had to be made for the patient's fractured upper central incisor teeth. An aesthetically pleasing treatment outcome was achieved within the expected time frame for correction. The case shows the successful combination of typical Begg mechanotherapy used during the early stages of treatment and Tip-Edge rectangular archwire mechanotherapy as used for the later and finishing stages.
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ranking = 3
keywords = extraction
(Clic here for more details about this article)
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