Dental trauma is a common injury observed at dental practices that normally occurs in young patients. It especially affects the anterior teeth, although trauma to the posterior teeth can also be observed frequently when caused by high-impact trauma and masticatory forces. Horizontal root fracture in the posterior teeth is even more rare and involves a more specific type of trauma. This article reports the case of a second molar root fracture that happened during the removal of an impacted wisdom tooth. The patient had no discomfort associated with the event, and the tooth had no change in sensibility or mobility during follow-up. Seven months after the fracture, there was complete radicular healing even though no treatment was given.
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http://dx.doi.org/10.4103/ams.ams_129_18 | DOI Listing |
Dent Traumatol
January 2025
Department of Endodontology, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
Background/aim: To explore transfer learning (TL) techniques for enhancing vertical root fracture (VRF) diagnosis accuracy and to assess the impact of artificial intelligence (AI) on image enhancement for VRF detection on both extracted teeth images and intraoral images taken from patients.
Materials And Methods: A dataset of 378 intraoral periapical radiographs comprising 195 teeth with fractures and 183 teeth without fractures serving as controls was included. DenseNet, ConvNext, Inception121, and MobileNetV2 were employed with model fusion.
BMC Oral Health
January 2025
Department of Endodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.
Background: This study assessed stress distributions in simulated mandibular molars filled with various materials after the removal of fractured instruments from the apical thirds of the root canals.
Methods: Finite element models of the mesial and distal root canals were created, where fractured instruments were assumed to be removed using a staging platform established with a modified Gates-Glidden bur (Woodpecker, Guangxi, P.R.
J Endod
January 2025
Department of Endodontics, Qingdao Stomatological Hospital Affiliated to Qingdao University, Qingdao, Shandong province, China. Electronic address:
Introduction: Traditional access cavity preparation involves removing the roof of the pulp chamber and smoothing the dentin bulges at the root canal orifice, thereby creating straight-line access. However, this may damage more healthy dental tissue and reduce the tooth's fracture resistance. This case series presents a novel minimally invasive endodontic protocol for one maxillary canine and four mandibular premolars, which required root canal therapy due to labial/buccal cervical decay that caused pulpitis or periapical periodontitis.
View Article and Find Full Text PDFPLoS One
January 2025
GuiZhou Institute of Subtropical Crops, Guizhou Academy of Agricultural Sciences, Guiyang, China.
Background: Fracture disrupts the integrity and continuity of the bone, leading to symptoms such as pain, tenderness, swelling, and bruising. Rhizoma Musae is a medicinal material frequently utilized in the Miao ethnic region of Guizhou Province, China. However, its specific mechanism of action in treating fractures remains unknown.
View Article and Find Full Text PDFJ Dent
January 2025
Department of Restorative, Preventive and Pediatric Dentistry, Zmk Bern, University of Bern, Switzerland; Unit for Practice-Based Research, School of Dental Medicine, University of Bern, Switzerland. Electronic address:
Objectives: The aim of this non-interventional, multi-center, prospective, practice-based study was, firstly, to evaluate the longevity of composite build-ups in endodontically treated teeth, treated with root canal therapy (ETT), without post placement and secondly, to identify and analyze factors influencing the success of these reconstructions.
Methods: Each of seven general dental practitioners placed up to 50 composite build-ups without additional posts in ETT. Teeth were restricted to incisors, canines and premolars.
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