Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2018, vol. 55, nr 1, January-March, p. 91–98

doi: 10.17219/dmp/83744

Publication type: clinical case

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

Vital root submergence of immature permanent incisors after complicated crown-root fracture followed by orthodontic space maintenance: A presentation of two cases

Pozostawienie „zatopionego” korzenia stałych siekaczy z niezakończonym rozwojem po ciężkim złamaniu koronowo-korzeniowym w celu ortodontycznego zachowania miejsca w łuku – opis dwóch przypadków

Adrian Strzecki1,A,D, Agnieszka Bruzda-Zwiech2,B,C, Renata Filipińska2,B,E

1 Department of Orthodontics, Medical University of Lodz, Poland

2 Department of Pediatric Dentistry, Medical University of Lodz, Poland

Abstract

Complicated crown-root fractures are considered rare occurrences in young permanent dentition; however, they pose a particularly difficult clinical challenge, especially when the traumatized tooth is immature. Two cases of complicated crown-root fractures of immature incisors are presented. In both cases, vital root submergence with no treatment to the exposed pulp was introduced as a stage in a complex treatment plan with the primary goal of preserving the shape of the alveolar ridge in the traumatized area until the root was completely formed or facial growth was finished. No inflammatory symptoms were detected either radiographically or clinically during the 15- and 16-month follow-up periods. In the chosen clinical cases, vital root submergence followed by orthodontic space maintenance can be beneficial to young patients if other treatment options are limited by the depth of the crown-root fracture or if the patient suffers from high dental fear and presents a particularly low level of compliance.

Key words

dental trauma, crown-root fracture, vital root submergence

Słowa kluczowe

uraz zęba, złamanie koronowo-korzeniowe, pozostawienie zatopionego korzenia

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