Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up
Traumatic Dentoalveolar Injuries (TDI) refer to injuries to the tooth (crown/root) and/or the tooth-supporting structures (Periodontal Ligament (PDL)/alveolar bone) due to traumatic force. The incidence of trauma to maxillary anterior teeth is very high. Hereby, the authors present a case report of...
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JCDR Research and Publications Private Limited
2024-11-01
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| author | Aashish Handa Kanwalpreet Kaur Bhullar Manpreet Kaur Roohan Malhar Sandhu Smiley Goyal |
| author_facet | Aashish Handa Kanwalpreet Kaur Bhullar Manpreet Kaur Roohan Malhar Sandhu Smiley Goyal |
| author_sort | Aashish Handa |
| collection | DOAJ |
| description | Traumatic Dentoalveolar Injuries (TDI) refer to injuries to the tooth (crown/root) and/or the tooth-supporting structures (Periodontal Ligament (PDL)/alveolar bone) due to traumatic force. The incidence of trauma to maxillary anterior teeth is very high. Hereby, the authors present a case report of non surgical endodontic management of fractured maxillary anterior teeth in a 19-year-old female at the middle and apical third root levels. Clinical examination of the patient revealed multiple fracture injuries involving the upper anterior teeth. There was no response to the pulp sensibility test concerning teeth 11, 12, 21, 22, 23, and 24. The Conical Beam Computed Tomography (CBCT) results showed apical third root fractures in teeth 11 and middle third fractures in tooth 23. Resorptive abnormalities were visible in the periapical regions of teeth 11, 12, 21, 22, and 24. Root canal treatment was performed using a bioceramic sealer and Mineral Trioxide Aggregrate (MTA). Clinical, CBCT, and radiographic evaluations conducted 24 months after the initial treatment verified total resolution in the periapical areas of the affected teeth. The present case study demonstrated the usefulness of MTA for the rehabilitation of teeth with broken roots and bioceramic sealers in the treatment of resorptive defects in traumatised teeth. Clinical and radiological signs of healing were observed during a follow-up period of 24 months. |
| format | Article |
| id | doaj-art-e7869d47f12a4255aff1237b5de74abd |
| institution | DOAJ |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-e7869d47f12a4255aff1237b5de74abd2025-08-20T02:50:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-11-011811171910.7860/JCDR/2024/74866.20321Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-upAashish Handa0Kanwalpreet Kaur Bhullar1Manpreet Kaur2Roohan Malhar Sandhu3Smiley Goyal4Reader, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India.Professor and Head, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India.Senior Resident, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India. Senior Resident, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India.Senior Resident, Department of Conservative Dentistry and Endodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India.Traumatic Dentoalveolar Injuries (TDI) refer to injuries to the tooth (crown/root) and/or the tooth-supporting structures (Periodontal Ligament (PDL)/alveolar bone) due to traumatic force. The incidence of trauma to maxillary anterior teeth is very high. Hereby, the authors present a case report of non surgical endodontic management of fractured maxillary anterior teeth in a 19-year-old female at the middle and apical third root levels. Clinical examination of the patient revealed multiple fracture injuries involving the upper anterior teeth. There was no response to the pulp sensibility test concerning teeth 11, 12, 21, 22, 23, and 24. The Conical Beam Computed Tomography (CBCT) results showed apical third root fractures in teeth 11 and middle third fractures in tooth 23. Resorptive abnormalities were visible in the periapical regions of teeth 11, 12, 21, 22, and 24. Root canal treatment was performed using a bioceramic sealer and Mineral Trioxide Aggregrate (MTA). Clinical, CBCT, and radiographic evaluations conducted 24 months after the initial treatment verified total resolution in the periapical areas of the affected teeth. The present case study demonstrated the usefulness of MTA for the rehabilitation of teeth with broken roots and bioceramic sealers in the treatment of resorptive defects in traumatised teeth. Clinical and radiological signs of healing were observed during a follow-up period of 24 months.https://www.jcdr.net/articles/PDF/20321/74866_CE[Ra1]_F(IS)_QC(PS_IS)_PF1(VD_SS)_PFA_NC(IS)_PN(KM).pdfbioceramic sealerdentoalveolar injuriesroot fracturetraumatic injuries |
| spellingShingle | Aashish Handa Kanwalpreet Kaur Bhullar Manpreet Kaur Roohan Malhar Sandhu Smiley Goyal Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up Journal of Clinical and Diagnostic Research bioceramic sealer dentoalveolar injuries root fracture traumatic injuries |
| title | Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up |
| title_full | Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up |
| title_fullStr | Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up |
| title_full_unstemmed | Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up |
| title_short | Successful Non Surgical Endodontic Management of Multi-fractured Maxillary Anterior Teeth: A Two-year Follow-up |
| title_sort | successful non surgical endodontic management of multi fractured maxillary anterior teeth a two year follow up |
| topic | bioceramic sealer dentoalveolar injuries root fracture traumatic injuries |
| url | https://www.jcdr.net/articles/PDF/20321/74866_CE[Ra1]_F(IS)_QC(PS_IS)_PF1(VD_SS)_PFA_NC(IS)_PN(KM).pdf |
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