Periodontal disease or periodontitis?
We often hear from patients that they have periodontal disease. And upon examination, it turns out that this is gingivitis (inflammation of the gums) or periodontitis (which is much more…

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Seven major violations in the design of a smile
Students and practitioners are increasingly turning to digital smile design techniques to directly demonstrate potential aesthetic changes to patients and members of the treatment team (including dental technicians). The principles…

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Reconstruction of a three-dimensional optical model of tooth tissue
Quite often, we are faced with the problem of which restoration technique to choose for defects in the cutting edge of the frontal group of teeth. Of course, the type…

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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.

Tooth decay in children
Most parents believe that caries can only be on the chewing surface of the tooth and when they look into the baby’s oral cavity they don’t see any problems, thinking…

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Teeth whitening at home: benefit or harm
In pharmacies and stores, both on the Internet and in your city, there is a wide selection of relatively inexpensive kits and individual preparations for home whitening. Sellers are full…

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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…

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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…

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