Ankylosis. Part II: Treatment of adults with tooth ankylosis
It is known that the root of an ankylosed tooth usually undergoes resorption and subsequent replacement with bone tissue. In addition, if ankylosis occurs before the growth and development of…

Continue reading →

Crowns on the teeth. Which are better?
A dental crown is a fixed prosthesis that is used in cases of tooth decay of more than 50 percent in order to restore the functional load and aesthetics of…

Continue reading →

9 myths in dentistry
Myth 1 - Milk teeth do not need to be treated. In fact, milk teeth, as well as permanent teeth, play an important role in the life of the human…

Continue reading →

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.

A clinical case of a "flaming" nevus in a pregnant woman
Purulent granulomas are non-tumorous excess formations of granulation tissue, which are formed as a result of a reaction to various stimuli by the type of hormonal changes, traumatic injuries, or…

...

Do you "wedge" your teeth before a composite restoration in the lateral region?
Composite materials for direct restoration of the lateral tooth group are the most common in clinical practice. However, clinicians often need to make a lot of efforts in order to…

...

How to become "effective"? Tips for young doctors and students
1. Take the first step before anyone else. You need to start with the first courses of the Faculty of Dentistry. Mastering the basics is best done by those who…

...

Cone-beam Computed Tomography as a Noninvasive Assistance Tool for Oral Cutaneous Sinus Tract Diagnosis: A Case Series
Abstract An oral cutaneous sinus tract is a relatively uncommon condition that is generally associated with long-standing periapical inflammation. The traditional process of oral cutaneous sinus tract diagnosis is an…

...