Abstract |
This case report describes the management of symptomatic horizontal mid-root fractures in previously traumatized central incisors, which initially had been treated endodontically and retreated afterwards. A 26-year-old female, who had suffered a traumatic injury to the maxillary anterior teeth, was referred owing to the failure of the corresponding orthograde endodontic retreatment and consequent pain/discomfort. Periapical radiographs and cone beam computed tomography showed that both central incisors had horizontal root fractures in their middle third, root canal fillings in their coronal segments, a considerable dislocation of the apical fragments and large radiolucent lesions between their apical segments and coronal fragments. Based on the obtained radiographic and clinical findings, a surgical endodontic retreatment approach for the main segments without removing the apical fragments was applied employing calcium-enriched mixture ( CEM) cement as the retrograde biomaterial. Thirty-month clinical and radiographic follow-ups demonstrated successful outcomes. This case report showed the healing potential of horizontal mid-root fractures after surgical endodontics using CEM cement without removing apical fragments.
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Authors | Saeed Asgary, Hesam Mirmohammadi, Ardavan Parhizkar |
Journal | Cureus
(Cureus)
Vol. 11
Issue 8
Pg. e5473
(Aug 24 2019)
ISSN: 2168-8184 [Print] United States |
PMID | 32175201
(Publication Type: Case Reports)
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Copyright | Copyright © 2019, Asgary et al. |