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Management of subgingival root fracture with decoronation and orthodontic extrusion in mandibular dentition: A report of two cases

机译:下颌牙列脱位和正畸挤压治疗龈下根部骨折2例

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Incidence of horizontal root fracture in permanent dentition is relatively uncommon with reported incidence being 7%. Treatment and prognosis of such injuries vary with the location of fracture line. More apical the fracture lines more likely the favorable outcome. Treatment includes immobilization for 2–4 weeks and root canal treatment to allay any chance of failure. Subgingival root fracture with possible bacterial contamination and insufficient crown height require multidisciplinary approach for the successful treatment and help patients to retain their natural dentition. In cases of extreme mobility of coronal fragment, endodontic treatment, decoronation, and orthodontic extrusion provides clinicians easy and conservative treatment option to functionally and esthetically rehabilitate the fractured tooth. This case report describes similar treatment plan in the management of subgingival root fracture in two different cases involving mandibular lateral incisor and mandibular premolar.
机译:永久性牙列中水平根部骨折的发生率相对较低,报道的发生率<7%。此类损伤的治疗和预后随骨折线的位置而异。根尖骨折线越可能产生有利结果。治疗包括固定2到4周和根管治疗以减轻任何失败的机会。牙龈下根部骨折可能引起细菌污染,牙冠高度不足,需要多学科的方法才能成功治疗并帮助患者保持自然的牙列。在冠状动脉碎片极度活动的情况下,牙髓治疗,脱骨和正畸挤压术为临床医生提供了简便而保守的治疗选择,以在功能上和美学上修复骨折的牙齿。该病例报告描述了在涉及下颌外侧切牙和下颌前磨牙的两种不同病例中,龈下根部骨折治疗的类似治疗方案。

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