Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2022, vol. 59, nr 4, October-December, p. 637–645

doi: 10.17219/dmp/145895

Publication type: review

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Marasca B, Ndokaj A, Duś-Ilnicka I, et al. Management of transverse root fractures in dental trauma. Dent Med Probl. 2022;59(4):637–645. doi:10.17219/dmp/145895

Management of transverse root fractures in dental trauma

Beatrice Marasca1,B,C, Artnora Ndokaj1,D,E, Irena Duś-Ilnicka2,C,D, Alessandro Nisii3,A,B, Roberto Marasca4,A,C, Maurizio Bossù1,C,E, Livia Ottolenghi1,E,F, Antonella Polimeni1,B,F

1 Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy

2 Department of Oral Pathology, Wroclaw Medical University, Poland

3 Chirurgien Dentiste Service de Chirurgie Oral, Centre Hospitalier Intercommunal André Grégoire, Paris, France

4 Pediatric Dentistry Unit, Head and Neck Integrated Department, AOU Policlinico Umberto I of Rome, Italy

Abstract

The management of complex dental trauma can be modulated according to the emergencies that may arise over time. Clinical management of transverse root fractures may require different therapies based on situations, such as delay and error in the treatment of an avulsion trauma associated with apical third root fracture, patient’s poor compliance, or external and internal root resorption. The primary aim of this article was to review studies regarding root fractures in the permanent dentition and root fracture management. The secondary aim was to present the inflammatory reaction and the complications (i.e., infections) that may occur if the International Association for Dental Traumatology (IADT) guidelines are not followed. In addition, a scenario is devised in which endodontic surgery, despite the baseline patient’s conditions and negative prognosis, can help to inhibit the inflammatory root resorption and allow the preservation of soft and hard tissues within a long follow-up from the injury, for the purpose of demonstrating the next possible implant-prosthetic rehabilitation.

Key words

dental trauma, avulsion, root fracture, apicoectomy, scanning electron microscopy

References (47)

  1. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Hoboken, USA: Wiley-Blackwell; 2019.
  2. Mordini L, Lee P, Lazaro R, Biagi R, Giannetti L. Sport and dental traumatology: Surgical solutions and prevention. Dent J (Basel). 2021;9(3):33. doi:10.3390/dj9030033
  3. Fouad AF, Abbott PV, Tsilingaridis G, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331–342. doi:10.1111/edt.12573
  4. Levin L, Day PF, Hicks L, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction. Dent Traumatol. 2020;36(4):309–313. doi:10.1111/edt.12574
  5. Yoon H, Song M. Long-term retention of avulsed maxillary incisors with replacement root resorption: A 9-year follow-up. Case Rep Dent. 2021;2021:8872859. doi:10.1155/2021/8872859
  6. Abbott PV. Diagnosis and management of transverse root fractures. Dent Traumatol. 2019;35(6):333–347. doi:10.1111/edt.12482
  7. Contaldo M, Della Vella F, Raimondo E, et al. Early Childhood Oral Health Impact Scale (ECOHIS): Literature review and Italian validation. Int J Dent Hyg. 2020;18(4):396–402. doi:10.1111/idh.12451
  8. Minervini G, Lucchese A, Perillo L, Serpico R, Minervini G. Unilateral superior condylar neck fracture with dislocation in a child treated with an acrylic splint in the upper arch for functional repositioning of the mandible. Cranio. 2017;35(5):337–341. doi:10.1080/08869634.2016.1203560
  9. Moccia S, Nucci L, Spagnuolo C, d’Apuzzo F, Piancino MG, Minervini G. Polyphenols as potential agents in the management of temporomandibular disorders. Appl Sci. 2020;10(15):5305. doi:10.3390/app10155305
  10. Mazur M, Jedliński M, Ndokaj A, et al. Long-term effectiveness of treating dentin hypersensitivity with Bifluorid 10 and Futurabond U: A split-mouth randomized double-blind clinical trial. J Clin Med. 2021;10(10):2085. doi:10.3390/jcm10102085
  11. Femiano F, Femiano R, Femiano L, et al. A new combined protocol to treat the dentin hypersensitivity associated with non-carious cervical lesions: A randomized controlled trial. Appl Sci. 2021;11(1):187. doi:10.3390/app11010187
  12. Minervini G, Nucci L, Lanza A, Femiano F, Contaldo M, Grassia V. Temporomandibular disc displacement with reduction treated with anterior repositioning splint: A 2-year clinical and magnetic resonance imaging (MRI) follow-up. J Biol Regul Homeost Agents. 2020;34(Suppl 1):151–160. PMID:32064850.
  13. Askar H, Krois J, Rohrer C, et al. Detecting white spot lesions on dental photography using deep learning: A pilot study. J Dent. 2021;107:103615. doi:10.1016/j.jdent.2021.103615
  14. d’Apuzzo F, Minervini G, Grassia V, Rotolo RP, Perillo L, Nucci L. Mandibular coronoid process hypertrophy: Diagnosis and 20-year follow-up with CBCT, MRI and EMG evaluations. Appl Sci. 2021;11(10):4504. doi:10.3390/app11104504
  15. Minervini G, Romano A, Petruzzi M, et al. Oral–facial–digital syndrome (OFD): 31-year follow-up management and monitoring. J Biol Regul Homeost Agents. 2018;32(2 Suppl 1):127–130. PMID:29460530.
  16. Rodakowska E, Mazur M, Baginska J, et al. Smoking prevalence, attitudes and behavior among dental students in Poland and Italy. Int J Environ Res Public Health. 2020;17(20):7451. doi:10.3390/ijerph17207451
  17. Minervini G, Romano A, Petruzzi M, et al. Telescopic overdenture on natural teeth: Prosthetic rehabilitation on (OFD) syndromic patient and a review on available literature. J Biol Regul Homeost Agents. 2018;32(2 Suppl 1):131–134. PMID:29460531.
  18. Di Stasio D, Lauritano D, Gritti P, et al. Psychiatric disorders in oral lichen planus: A preliminary case control study. J Biol Regul Homeost Agents. 2018;32(2 Suppl 1):97–100. PMID:29460524.
  19. Di Stasio D, Romano AN, Paparella RS, et al. How social media meet patients’ questions: YouTube™ review for children oral thrush. J Biol Regul Homeost Agents. 2018;32(2 Suppl 1):101–106. PMID:29460525.
  20. Di Stasio D, Romano A, Paparella RS, et al. How social media meet patients’ questions: YouTube™ review for mouth sores in children. J Biol Regul Homeost Agents. 2018;32(2 Suppl 1):117–121. PMID:29460528.
  21. Sycinska-Dziarnowska M, Stepien P, Janiszewska-Olszowska J, et al. Analysis of Instagram® posts referring to cleft lip. Int J Environ Res Public Health. 2020;17(20):7404. doi:10.3390/ijerph17207404
  22. Antonelli A, Bennardo F, Brancaccio Y, et al. Can bone compaction improve primary implant stability? An in vitro comparative study with osseodensification technique. Appl Sci. 2020;10(23):8623. doi:10.3390/app10238623
  23. d’Apuzzo F, Nucci L, Delfino I, et al. Application of vibrational spectroscopies in the qualitative analysis of gingival crevicular fluid and periodontal ligament during orthodontic tooth movement. J Clin Med. 2021;10(7):1405. doi:10.3390/jcm10071405
  24. Andreasen JO, Malmgren B, Bakland LK. Tooth avulsion in children: To replant or not. Endod Topics. 2006;14(1):28–34. doi:10.1111/j.1601-1546.2008.00224.x
  25. Abbott PV. Prevention and management of external inflammatory resorption following trauma to teeth. Aust Dent J. 2016;61(S1):82–94. doi:10.1111/adj.12400
  26. Lin S, Guttmacher Z, Steif M, Braun R. Apical root end resection (Apicoectomy) as treatment option in cases of dental trauma in young patient [article in Hebrew]. Refuat Hapeh Vehashinayim. 2011;28(2):30–34. PMID:21848029.
  27. Torabinejad M, Parirokh M, Dummer PMH. Mineral trioxide aggregate and other bioactive endodontic cements: An updated overview – part II: Other clinical applications and complications. Int Endod J. 2018;51(3):284–317. doi:10.1111/iej.12843
  28. Montoya C, Arola D, Ossa EA. Importance of tubule density to the fracture toughness of dentin. Arch Oral Biol. 2016;67:9–14. doi:10.1016/j.archoralbio.2016.03.003
  29. Ivancik J, Arola DD. The importance of microstructural variations on the fracture toughness of human dentin. Biomaterials. 2013;34(4):864–874. doi:10.1016/j.biomaterials.2012.10.032
  30. Bendoraitiene E, Zemgulyte S, Borisovaite M. Reasonable outcome of avulsed permanent upper incisor after seven years follow-up period: A case report. J Oral Maxillofac Res. 2017;8(4):e6. doi:10.5037/jomr.2017.8406
  31. Chen E, Abbott PV. Dental pulp testing: A review. Int J Dent. 2009;2009:365785. doi:10.1155/2009/365785
  32. Nassar H, Al-Dabbagh N, Aldabbagh R, et al. Dental follow-up and maintenance index: The development of a novel multidisciplinary protocol. Heliyon. 2020;6(5):e03954. doi:10.1016/j.heliyon.2020.e03954
  33. Akhlef Y, Schwartz O, Andreasen JO, Jensen SS. Autotransplantation of teeth to the anterior maxilla: A systematic review of survival and success, aesthetic presentation and patient-reported outcome. Dent Traumatol. 2018;34(1):20–27. doi:10.1111/edt.12379
  34. Andreasen JO, Andreasen FM, Mejàre I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol. 2004;20(4):192–202. doi:10.1111/j.1600-9657.2004.00279.x
  35. Bardini G, Musu D, Mezzena S, Dettori C, Cotti E. Combined management of apical root fracture and avulsion of two maxillary permanent central incisors: A case report. Dent J (Basel). 2021;9(4):39. doi:10.3390/dj9040039
  36. Mazur M, Jedliński M, Janiszewska-Olszowska J, et al. Knowledge of emergency management of avulsed teeth among Italian dentists – Questionnaire study and next future perspectives. Int J Environ Res Public Health. 2021;18(2):706. doi:10.3390/ijerph18020706
  37. Nardi GM, Fais S, Casu C, et al. Mouthwash based on ozonated olive oil in caries prevention: A preliminary in-vitro study. Int J Environ Res Public Health. 2020;17(23):9106. doi:10.3390/ijerph17239106
  38. Nardi GM, Cesarano F, Papa G, et al. Evaluation of salivary matrix metalloproteinase (MMP-8) in periodontal patients undergoing non-surgical periodontal therapy and mouthwash based on ozonated olive oil: A randomized clinical trial. Int J Environ Res Public Health. 2020;17(18):6619. doi:10.3390/ijerph17186619
  39. Mazur M, Ndokaj A, Jedlinski M, Ardan R, Bietolini S, Ottolenghi L. Impact of green tea (Camellia Sinensis) on periodontitis and caries. Systematic review and meta-analysis. Jpn Dent Sci Rev. 2021;57:1–11. doi:10.1016/j.jdsr.2020.11.003
  40. Trybek G, Jedliński M, Jaroń A, Preuss O, Mazur M, Grzywacz A. Impact of lactoferrin on bone regenerative processes and its possible implementation in oral surgery – A systematic review of novel studies with metanalysis and metaregression. BMC Oral Health. 2020;20(1):232. doi:10.1186/s12903-020-01211-6
  41. Barone A, Ricci M, Grassi RF, Nannmark U, Quaranta A, Covani U. A 6-month histological analysis on maxillary sinus augmentation with and without use of collagen membranes over the osteotomy window: Randomized clinical trial. Clin Oral Implants Res. 2013;24(1):1–6. doi:10.1111/j.1600-0501.2011.02340.x
  42. Jaroń A, Jedliński M, Grzywacz E, Mazur M, Trybek G. Kinesiology taping as an innovative measure against post-operative complications after third molar extraction – Systematic review. J Clin Med. 2020;9(12):3988. doi:10.3390/jcm9123988
  43. Nardi GM, Guerra F, Ndokaj A, et al. Phototherapy and tailored brushing method. Personalized oral care in patients with facial and dental trauma. A report of a case. Healthcare (Basel). 2021;9(5):561. doi:10.3390/healthcare9050561
  44. Romeo U, Nardi GM, Libotte F, Sabatini S, Palaia G, Grassi FR. The antimicrobial photodynamic therapy in the treatment of peri-implantitis. Int J Dent. 2016;2016:7692387. doi:10.1155/2016/7692387
  45. Mazur M, Marasca R, Ottolenghi L, et al. Different resorptive patterns of two avulsed and replanted upper central incisors based on scanning electron microscopy and stereomicroscopic analysis: A case report. Appl Sci. 2020;10(10):3551. doi:10.3390/app10103551
  46. Spinas E, Generali L, Mameli A, Demontis C, Martinelli D, Giannetti L. Delayed tooth replantation and inflammatory root resorption in childhood and adolescence. J Biol Regul Homeost Agents. 2019;33(2):623–627. PMID:30945526.
  47. Abbott PV, Salgado JC. Strategies to minimize the consequences of trauma to the teeth. Oral Health Dent Manag. 2014;13(2):229–242. PMID:24984627.