A five-year follow-up of a root fracture in a ten-year-old boy.

Int Orthod

Dental Faculty of the University of Strasbourg, Department of dental emergency, Strasbourg University Hospital, 1, place de l'Hôpital-Civil, 67000 Strasbourg, France.

Published: December 2017

AI Article Synopsis

  • A case study on a 10-year-old boy with a horizontal root fracture in his left maxillary central incisor is presented, detailing emergency care and a 5-year follow-up.
  • The fracture was located at the junction of the tooth's apical and middle thirds, and successful management was achieved alongside planned orthodontic treatment for a retained maxillary cuspid.
  • The case underscores the value of 3D imaging (CBCT) for accurate diagnosis and monitoring post-traumatic complications, highlighting the tooth's continued vitality and lack of symptoms.

Article Abstract

The management of horizontal root fracture still presents a challenge to clinicians. The case of a 10-year-old boy with a horizontal root fracture in the left maxillary central incisor (tooth number 21) is described here. The fracture was present at the junction of the apical and the middle thirds. We report both the emergency care and the 5-year follow-up. At the same time, an orthodontic treatment was planned for a retained maxillary cuspid (tooth number 23), first composed of a high-pull headgear and then by a fixed multi-bracket appliance. Today, the tooth number 21 remains vital and symptomless. This report highlights the successful management of a horizontally fractured tooth requiring orthodontic treatment. Our work also underlines the advantages of 3D images [cone-beam computed tomography (CBCT)] in positive and differential diagnosis especially in the event of a suspicion of post-traumatic complication.

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Source
http://dx.doi.org/10.1016/j.ortho.2017.09.013DOI Listing

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