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Case Report

Combined Management of Apical Root Fracture and Avulsion of Two Maxillary Permanent Central Incisors: A Case Report

Department of Conservative Dentistry and Endodontics, University of Cagliari, 09125 Cagliari, Italy
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Author to whom correspondence should be addressed.
Academic Editor: Dubravka Knezović Zlatarić
Received: 21 February 2021 / Revised: 25 March 2021 / Accepted: 30 March 2021 / Published: 1 April 2021
(This article belongs to the Special Issue Sport and Dental Traumatology)
As a result of a skiing accident, a ten-year-old girl suffered combined injuries to both maxillary central incisor teeth (#1.1 and #2.1). The injuries were uncomplicated crown fractures, apical horizontal root fractures, and a severe extrusive luxation of the coronal segments of the teeth. Her mother repositioned the teeth immediately, resulting in good initial healing. Nine months later, the patient was referred to a specialist to manage the endodontic consequences of the trauma. The apexification treatment of the fractured roots, using a preformed apical barrier technique with bioactive cement, was the treatment of choice, administered to both the avulsed roots at two separate recall visits. The best option for managing the fractured apical segments was to continue with the follow-up, which was conducted to assess the overall case at 30 months. The fractured apexes remained normally positioned inside the socket and were asymptomatic (as they presumably maintained a physiological vascular-nerve supply and, consequently, their vitality), while the apexification treatment led to the healing of the periodontal tissues and to hard tissue formation in the area of the interrupted roots in the avulsed portion of the teeth. The management of traumatic injuries in teeth often requires multiple treatment approaches, because these injuries rarely represent one single type of trauma. View Full-Text
Keywords: dental trauma; extrusive luxation; replantation; root fracture; crown fracture dental trauma; extrusive luxation; replantation; root fracture; crown fracture
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MDPI and ACS Style

Bardini, G.; Musu, D.; Mezzena, S.; Dettori, C.; Cotti, E. Combined Management of Apical Root Fracture and Avulsion of Two Maxillary Permanent Central Incisors: A Case Report. Dent. J. 2021, 9, 39. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9040039

AMA Style

Bardini G, Musu D, Mezzena S, Dettori C, Cotti E. Combined Management of Apical Root Fracture and Avulsion of Two Maxillary Permanent Central Incisors: A Case Report. Dentistry Journal. 2021; 9(4):39. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9040039

Chicago/Turabian Style

Bardini, Giulia, Davide Musu, Silvia Mezzena, Claudia Dettori, and Elisabetta Cotti. 2021. "Combined Management of Apical Root Fracture and Avulsion of Two Maxillary Permanent Central Incisors: A Case Report" Dentistry Journal 9, no. 4: 39. https://0-doi-org.brum.beds.ac.uk/10.3390/dj9040039

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