{"title":"Management of maxillary permanent central incisors with combined injuries sustaining a second dental trauma: A case report with 8-year follow-up.","authors":"Zhifang Wu, Jian Wang, Linxian Fang, Dandan Zhang, Qiongling Shi, Manting Wang, Junzhuo Gou, Shuli Deng","doi":"10.1111/aej.12913","DOIUrl":null,"url":null,"abstract":"<p><p>Root fractures often occur in immature maxillary permanent central incisors and can be combined with other injuries, making treating more difficult and prognosis uncertain. A 10-year-old girl sustaining a second dental trauma came to our hospital. Teeth 11 and 21 experienced root fracture following the first injury 15 months earlier. The second injury resulted in lateral luxation of the coronal fragment of Tooth 11 from the original fracture site and subluxation of Tooth 21. Tooth 11 was repositioned, and both Teeth 11 and 21 were splinted for 3 months. An apical plug was applied to Tooth 21 at 52 months. After 8 years of follow-up, complete resorption was observed in the apical fragment of Tooth 11, and both teeth exhibited a favourable prognosis. It illustrates that complex root fractures sustaining two separate traumatic incidents can have a positive long-term outcome through accurately judging and grasping the timing of sequential treatment.</p>","PeriodicalId":55581,"journal":{"name":"Australian Endodontic Journal","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Endodontic Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/aej.12913","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Root fractures often occur in immature maxillary permanent central incisors and can be combined with other injuries, making treating more difficult and prognosis uncertain. A 10-year-old girl sustaining a second dental trauma came to our hospital. Teeth 11 and 21 experienced root fracture following the first injury 15 months earlier. The second injury resulted in lateral luxation of the coronal fragment of Tooth 11 from the original fracture site and subluxation of Tooth 21. Tooth 11 was repositioned, and both Teeth 11 and 21 were splinted for 3 months. An apical plug was applied to Tooth 21 at 52 months. After 8 years of follow-up, complete resorption was observed in the apical fragment of Tooth 11, and both teeth exhibited a favourable prognosis. It illustrates that complex root fractures sustaining two separate traumatic incidents can have a positive long-term outcome through accurately judging and grasping the timing of sequential treatment.
期刊介绍：
The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues.
The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses.
The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.
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