Periodontitis treatment with medical leeches
Periodontitis is a fairly widespread disease in which periodontal tissues become inflamed. It carries a very unpleasant sensation and reduces the quality of life: there is bleeding and swelling of…

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What you need to know about dental implants
How is implant placement performed? The implant placement on average takes 15-20 minutes. After the doctor, together with the patient, planned the type of implantation and selected the implant system,…

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Is it possible to restore a tooth if a piece breaks away from it?
A common situation - an unsuccessfully caught nut or other hard object in food leads to tooth damage right up to a chip. The same thing happens with the bones…

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Horizontal root fracture: remove or save?

A tooth with a traumatic root fracture was zipped using the Ribbond system. The patient does not show complaints.

What to do? Will we discuss removal and subsequent implantation, or will we talk about a composite bus? Or leave it as it is and watch? How predictable is such a tooth in the long run?

Looking at an x-ray most often such a tooth is removed. However, if we turn to literary sources about the prognosis of horizontal tooth fractures, we can decide to save the tooth.

Andreasen and his team studied a large body of literature that examined the healing of an intra-alveolar root fracture of 534 incisors in patients aged 7 to 17 years. They classified the localization of the root fracture: in the cervical part, in the middle and in the apical third of the root (Fig. 2). In 78% of cases, the fracture healed (mineralized healing, connective tissue or combined), regardless of the location of the fracture at the root.

In 85% of cases, fracture healing occurred without complications during the entire observation period. Over 10 years, the survival rate was 80%. The frequency of tooth extraction with root fractures in the neck of the tooth was 70%. Therefore, if teeth with such fractures are initially removed, the 10-year rate will increase to 88%.

Studying the literature, it can be seen that there is a high probability of preservation of teeth with horizontal fractures in the long term, excluding cases with fractures in the neck of the tooth.

In this clinical situation, a broken central incisor has been functioning for 13 years. This case is more successful (since we have achieved long-term success, despite the fact that the fracture is in the cervical third of the root). We hope that this case will allow us to look at the situation from the other side, and will also help to make a decision in the choice of dental treatment with horizontal root fractures.

Which tooth crowns are better - ceramic-metal or metal-free?
Ceramic-metal tooth crown A ceramic-metal dental crown is a denture made by a dental technician in a dental laboratory according to preliminary casts of a dentist. In simple words -…

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Psychology in endodontics. Microscope in endodontic practice, personal observations
Since 1999, I have been working with an endodontic microscope, during this time my attitude to this subject has evolved from irritation due to the need to retrain, to drug…

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A clinical case of jaw radionecrosis and periimplantitis after radiation therapy
Osteoradinecrosis (ORN) of the lower jaw is a serious complication that can occur in patients after a course of radiotherapy during the complex treatment of neoplasms of the head and…

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Ankylosis. Part IV: Using Deconorization
As a rule, when choosing a method for treating permanent ankylosed teeth in children, it is recommended that they be removed before the final growth of the jaws. Then, subsequent…

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