Endodontic Stabilizer in Complicated Root Fracture in a single visit
Abstract
Introduction: The complicated fracture of the medium third of the root is a complex entity, particularly with an unfavorable prognosis and a symptomatic course in which the clinical success becomes a utopia in not just a few opportunities because the stability by confrontation of the free edges of the fractured fragments is difficult to achieve. In this respect, the endodontic stabilizer is used to guarantee a satisfactory bilateral anchorage that gives the possibility to unify, in a single visit, the necessary operation times for a successful treatment.
Objective: To describe the feasibility of the use of an endodontic stabilizer in the management of a complicated fracture of the medium third of the root in a single visit.
Case presentation: Female 60-year-old patient who comes to the consulting room after suffering from a consistent dentoalveolar trauma with a complicated fracture of the medium third of the root in tooth no.21; radiograph reveals a slight periodontal widening, and discontinuous edges. Radical endodontic treatment is performed with the placement of an intraductal stabilizer in the reduction of the fracture.
Conclusions: The use of an endodontic stabilizer in the management of a complicated fracture of the medium third of the root in a single visit to the dentist is a feasible alternative in the mediate and immediate treatment seeing that it supposes a fast recovery of the bucco-dental functions of the patient.
Keywords: dental fracture, endodontics, intraductal posts, dental restoration, dental materials, traumatic lesion of the tooth.
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References
1. Berman L, Blanco L, Cohen S. Manual clínico de traumatolo¬gía dental. 1ra. Edición. Amster¬dam: Elsevier; 2008.
2. Gutmann JL, Lovdahl PE. Problem Solving in the Management of Tooth Fractures and Traumatic Tooth Injuries. En: Dolan J, Loher BS, editores. Problem solving in endodontics: Prevention, identification and management. Maryland Heights, Missouri: ELSEVIER-Mosby; 2011. P. 418-38.
3. Namdev R, Jindal A, Bhargava S, Bakshi L, Verma R, Beniwal D. Awareness of emergency management of dental trauma. Contemp Clin Dent. 2014 Oct;5(4):507-13. doi: 10.4103/0976-237X.142820.
4. Patel PB, Stanton DC, Granquist EJ. Common dental and orofacial trauma: evaluation and management. Med Clin North Am. 2014 Nov;98(6):1261-79. doi: 10.1016/j.mcna.2014.08.003.
5. Colectivo de autores, Normas Técnicas de Endodoncia. Ciudad de la Habana: Editorial Ciencias Médicas; 1989.
6. Alvarez-Rodríguez J, Clavera-Vázquez TJ, Becerra-Alonso O, Rodríguez-Ledesma EB. Tratamiento endodóntico radical en pulpa no vital en una sola visita. Revista Habanera de Ciencias Médicas [revista en Internet]. 2014 [citado 2014 May 13]; 13(2): [aprox. 0 p.]. Disponible en:
http://www.revhabanera.sld.cu/index.php/rhab/article/view/329
7. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. Philadelphia: Elsevier health sciences; 2011.
8. Ortiz Moncada C. Interpretación clínica de las lesiones periodontales. MEDISAN [Artículo en línea] 2012 [Consultado enero 2013];6(2):[5 páginas]. Disponible en: http://bvs.sld.cu/revistas/usan/vol6-2-02/san16012.htm
9. Gutmann JL, Lovdahl PE. Problem-Solving Challenges in Periapical Surgery. En: Dolan J, Loher BS, editores. Problem solving in endodontics: Prevention, identification and management. Maryland Heights, Missouri: ELSEVIER-Mosby; 2011. P. 325-55.
10. Naylor J. The use of guided tissue regeneration techniques among endodontists: a web-based survey. Journal of Endodontics.2011;37(11):1495-8.
11. Abanto J, Tsakos G, Paiva SM, Carvalho TS, Raggio DP, Bönecker M. Impact of dental caries and trauma on quality of life among 5- to 6-year-old children: perceptions of parents and children. Community Dent Oral Epidemiol. 2014 Oct;42(5):385-94. doi: 10.1111/cdoe.12099.
12. Alonso-Ezpeleta O, Martín-González J, Martín-Jiménez M, Segura-Egea JJ. Endodontic treatment failure consecutive to unsystematic radiographic examination. Oral Health Dent Manag. 2013 Dec;12(4):300-4.
13. Purton DG, Love RM. Rigidity and retention of carbon fibre versus stainless steel root canal posts. Int Endod J. 1996 Jul;29(4):262-5.
14. Bobbio S, Ghersi Miranda HD, Hernandez Ananos JF. Manejo farmacológico coadyuvante al tratamiento endodóntico. Rev Estomatol Herediana. [Internet]. 2011 [citado 18 Julio 2014];21(2):110-5. Disponible en: <http://revistas.concytec.gob.pe/scielo.php?script=sci_arttext&pid=S1019-43552011000100009&lng=es&nrm=iso>. ISSN 1019-4355
15. León Valle M, Arada Otero JA, López Blanco MN, Armas Cruz D. Traumatismos dentarios en el menor de 19 años. Rev. Ciencias Médicas de Pinar del Río. [Internet] septiembre-octubre 2012[Citado 18 de Julio 2014];16(5):[aprox. 9 p] Disponible en: http://publicaciones.pri.sld.cu/rev-fcm/rev-fcm16-5/010512.htm
16. Gallego RJ. Nivel de conocimiento sobre el manejo inmediato de los traumas dentales en profesores de educación física. Rev Ciencias Médicas La Habana [serie en Internet]. 2009 [citado 21 Mayo 2012];15(1):[aprox. 10 p.]. Disponible en: http://www.cpicmha.sld.cu/hab/vol15_1_09/hab11109.html
17. Yilmaz Y, Guler C, Sahin H. Evaluation of tooth-fragment reattachment: a clinical and la¬boratory study. Dental Trauma¬tology. 2010; 26: 308-314.
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