Pulp health and calcific healing of a complicated crown-root fracture with additional root fracture in a maxillary incisor: A case report.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2025-01-26 DOI:10.12998/wjcc.v13.i3.98104
Na Li, Yue-Yue Ren, Ying Tang, Qi Yang, Tian-Tian Meng, Song Li, Jing Zhang
{"title":"Pulp health and calcific healing of a complicated crown-root fracture with additional root fracture in a maxillary incisor: A case report.","authors":"Na Li, Yue-Yue Ren, Ying Tang, Qi Yang, Tian-Tian Meng, Song Li, Jing Zhang","doi":"10.12998/wjcc.v13.i3.98104","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Complicated crown-root fracture (CRF) involves severe injury to the crown, root, and pulp, and may be accompanied by multiple root fractures. The loss of a tooth has lifelong consequences for children and teenagers, but the maintenance of pulp health and the calcific healing of multiple root fractures are rarely reported in the literature.</p><p><strong>Case summary: </strong>This case reports healing of a permanent tooth with complicated crown-root and additional root fractures, in which pulp health was maintained. A 10-year-old girl fell and fractured the root of her maxillary left central incisor at the cervical level. After the coronal fragment was repositioned, the tooth was splinted until the tooth was no longer mobile, 2 years later. Eight years after treatment, the tooth has remained asymptomatic with vital pulp and localized gingival overgrowth. Cone-beam computed tomography revealed not only calcified healing of the CRF but also spontaneous healing in an additional undiagnosed root fracture. The fracture line on the enamel could not be healed by hard tissue and formed a groove in the cervical crown. It was speculated that the groove was related to the localized gingival overgrowth.</p><p><strong>Conclusion: </strong>This case provides a clinical perspective of the treatment of a tooth with a complicated CRF and an additional root fracture.</p>","PeriodicalId":23912,"journal":{"name":"World Journal of Clinical Cases","volume":"13 3","pages":"98104"},"PeriodicalIF":1.0000,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577523/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Clinical Cases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12998/wjcc.v13.i3.98104","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Complicated crown-root fracture (CRF) involves severe injury to the crown, root, and pulp, and may be accompanied by multiple root fractures. The loss of a tooth has lifelong consequences for children and teenagers, but the maintenance of pulp health and the calcific healing of multiple root fractures are rarely reported in the literature.

Case summary: This case reports healing of a permanent tooth with complicated crown-root and additional root fractures, in which pulp health was maintained. A 10-year-old girl fell and fractured the root of her maxillary left central incisor at the cervical level. After the coronal fragment was repositioned, the tooth was splinted until the tooth was no longer mobile, 2 years later. Eight years after treatment, the tooth has remained asymptomatic with vital pulp and localized gingival overgrowth. Cone-beam computed tomography revealed not only calcified healing of the CRF but also spontaneous healing in an additional undiagnosed root fracture. The fracture line on the enamel could not be healed by hard tissue and formed a groove in the cervical crown. It was speculated that the groove was related to the localized gingival overgrowth.

Conclusion: This case provides a clinical perspective of the treatment of a tooth with a complicated CRF and an additional root fracture.

Abstract Image

Abstract Image

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
牙髓健康和钙化愈合的复杂性冠根骨折合并上颌切牙根骨折:1例报告。
背景:复杂牙冠-牙根骨折(CRF)涉及到牙冠、牙根和牙髓的严重损伤,并可能伴有多发牙根骨折。牙齿的脱落对儿童和青少年有终生的影响,但文献中很少报道牙髓健康的维持和多根骨折的钙化愈合。病例总结:本病例报告一颗有复杂冠根和附加根骨折的恒牙的愈合,并维持了牙髓的健康。一个10岁的女孩跌落并骨折了她的上颌左中切牙根在颈椎水平。冠状碎片重新定位后,用夹板固定牙齿,直到2年后牙齿不再活动。治疗八年后,牙齿仍无症状,牙髓仍有活力,局部牙龈过度生长。锥形束计算机断层扫描显示,不仅CRF的钙化愈合,而且在另一个未确诊的根骨折中也自发愈合。牙釉质上的骨折线不能被硬组织愈合,在颈冠上形成沟状。推测该沟与局部牙龈过度生长有关。结论:本病例为复杂CRF合并牙根骨折的治疗提供了临床视角。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
0.00%
发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
期刊最新文献
Left ventricular mass in newborn with perinatal asphxia: Assessment of allometric relations and impact of birth weight. Low salivary thioredoxin-1 levels in periodontitis. Surgical management of acute choroidal neovascularization related submacular hemorrhage: Three case reports. Ruptured primary intrahepatic ectopic pregnancy: A case report and review of literature. Tubercular chorioretinitis mimicking sarcoidosis in a patient with celiac disease and erythema nodosum: A case report.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1